| Modern Mindwork, Llc | |
|
1313 E Maple St # 107 Bellingham WA 98225-5708 | |
| (509) 405-1001 | |
| Not Available |
| Full Name | Modern Mindwork, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1313 E Maple St # 107, Bellingham, Washington |
| Authorized Official Name and Position | Joanna Starratt (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5094051001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mindwork, Llc 1313 E Maple St # 107 Bellingham WA 98225-5708 Ph: (509) 405-1001 | Modern Mindwork, Llc 1313 E Maple St # 107 Bellingham WA 98225-5708 Ph: (509) 405-1001 |
| NPI Number | 1720858301 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720858301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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