| Minds On The Mend Llc | |
|
4 Lincoln St Medway MA 02053-1623 | |
| (401) 237-2325 | |
| Not Available |
| Full Name | Minds On The Mend Llc |
|---|---|
| Speciality | Counselor |
| Location | 4 Lincoln St, Medway, Massachusetts |
| Authorized Official Name and Position | Domenica Rizza (CLINICAL PSYCHOTHERAPIST) |
| Authorized Official Contact | 4012372325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minds On The Mend Llc 4 Lincoln St Medway MA 02053-1623 Ph: (401) 237-2325 | Minds On The Mend Llc 4 Lincoln St Medway MA 02053-1623 Ph: (401) 237-2325 |
| NPI Number | 1386310100 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Medicare PECOS PAC ID | 3072903277 |
|---|---|
| Medicare Enrollment ID | O20211202000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386310100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Domenica Rizza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568024206 PECOS PAC ID: 4981039138 Enrollment ID: I20200115002166 |
| Provider Name | Kathryn Blair Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114498904 PECOS PAC ID: 0244678373 Enrollment ID: I20240506000434 |
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