| Mindset Social Solutions Inc | |
|
1613 Blue Hill Avenue Mattapan MA 02126 | |
| (857) 399-6562 | |
| Not Available |
| Full Name | Mindset Social Solutions Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1613 Blue Hill Avenue, Mattapan, Massachusetts |
| Authorized Official Name and Position | Melissa M Jules (PRESIDENT/OWNER) |
| Authorized Official Contact | 8573996462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset Social Solutions Inc 79 Regis Rd #1 Mattapan MA 02126 Ph: (617) 942-1030 | Mindset Social Solutions Inc 1613 Blue Hill Avenue Mattapan MA 02126 Ph: (857) 399-6562 |
| NPI Number | 1447872130 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 0345665204 |
|---|---|
| Medicare Enrollment ID | O20200810001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447872130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nia-sue Mitchum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003085432 PECOS PAC ID: 5496818247 Enrollment ID: I20090106000332 |
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