Mindmender Counseling Services, Pllc | |
19824 W Catawba Ave Suite G-205 Cornelius NC 28031-4046 | |
(704) 892-1828 | |
Not Available |
Full Name | Mindmender Counseling Services, Pllc |
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Speciality | Counselor |
Location | 19824 W Catawba Ave, Cornelius, North Carolina |
Authorized Official Name and Position | Colleen Mary Serreno (OWNER) |
Authorized Official Contact | 7048921828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mindmender Counseling Services, Pllc Po Box 2067 Cornelius NC 28031-2067 Ph: () - | Mindmender Counseling Services, Pllc 19824 W Catawba Ave Suite G-205 Cornelius NC 28031-4046 Ph: (704) 892-1828 |
NPI Number | 1467720565 |
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Provider Enumeration Date | 12/05/2011 |
Last Update Date | 12/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467720565 | NPI | - | NPPES |
56162 | Other | NC | MEDCOST |
6102349 | Medicaid | NC | |
2056553 | Other | NC | CIGNA |
130WW | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
369641 | Other | NC | UNITED BEHAVIORAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 3977 (North Carolina) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1132 (North Carolina) | Secondary |
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