| Mindstream Llc | |
|
11 Grassey Ln Bluffton SC 29910-6604 | |
| (843) 757-2003 | |
| Not Available |
| Full Name | Mindstream Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11 Grassey Ln, Bluffton, South Carolina |
| Authorized Official Name and Position | Barbara H Pacitti (DIRECTOR) |
| Authorized Official Contact | 8437572192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindstream Llc 11 Grassey Ln Bluffton SC 29910-6604 Ph: (843) 757-2003 | Mindstream Llc 11 Grassey Ln Bluffton SC 29910-6604 Ph: (843) 757-2003 |
| NPI Number | 1811297948 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811297948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6634766 (New York) | Secondary |
| 101YP2500X | Counselor - Professional | 4940 (South Carolina) | Primary |
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