| Mindwire | |
|
401 Corbett St Suite 460 Belleair FL 33756-7309 | |
| (727) 386-6495 | |
| Not Available |
| Full Name | Mindwire |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 401 Corbett St, Belleair, Florida |
| Authorized Official Name and Position | Alexandra Theis (CEO) |
| Authorized Official Contact | 4072235423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindwire 401 Corbett St Suite 460 Belleair FL 33756-7309 Ph: () - | Mindwire 401 Corbett St Suite 460 Belleair FL 33756-7309 Ph: (727) 386-6495 |
| NPI Number | 1780095968 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780095968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11310 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | MH11558 (Florida) | Secondary |
Mitchell Kroun Gold, Ph.d., P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Corbett St Ste 300, Belleair, FL 33756 Phone: 727-442-6007 Fax: 727-441-3981 |