| Mindspace Counseling, Pllc. | |
|
1118 Sam Newell Rd Ste D Matthews NC 28105-5041 | |
| (704) 282-1661 | |
| Not Available |
| Full Name | Mindspace Counseling, Pllc. |
|---|---|
| Speciality | Counselor |
| Location | 1118 Sam Newell Rd Ste D, Matthews, North Carolina |
| Authorized Official Name and Position | Lin Hu (OWNER) |
| Authorized Official Contact | 7042821661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindspace Counseling, Pllc. Po Box 78696 Charlotte NC 28271-7038 Ph: () - | Mindspace Counseling, Pllc. 1118 Sam Newell Rd Ste D Matthews NC 28105-5041 Ph: (704) 282-1661 |
| NPI Number | 1205480860 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 07/31/2019 |
| Medicare PECOS PAC ID | 3971047986 |
|---|---|
| Medicare Enrollment ID | O20240702000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205480860 | NPI | - | NPPES |
| Provider Name | Rebecca Blankenship |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508458290 PECOS PAC ID: 0941744965 Enrollment ID: I20240702000799 |
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