| Neumind Wellness Group Llc | |
|
2113 Ruby Red Blvd Ste D Clermont FL 34714-6115 | |
| (352) 394-0573 | |
| Not Available |
| Full Name | Neumind Wellness Group Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2113 Ruby Red Blvd Ste D, Clermont, Florida |
| Authorized Official Name and Position | Rebeca Carrasquillo (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3523940573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neumind Wellness Group Llc 2113 Ruby Red Blvd Ste D Clermont FL 34714-6115 Ph: (352) 394-0573 | Neumind Wellness Group Llc 2113 Ruby Red Blvd Ste D Clermont FL 34714-6115 Ph: (352) 394-0573 |
| NPI Number | 1396101697 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 12/21/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 3173883386 |
|---|---|
| Medicare Enrollment ID | O20180208001770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396101697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lauren A Mitchell Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912254046 PECOS PAC ID: 3577823798 Enrollment ID: I20240104000034 |
| Provider Name | Sherly Rainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043662489 PECOS PAC ID: 5890146823 Enrollment ID: I20240104000042 |
| Provider Name | Heather G West |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689203549 PECOS PAC ID: 6507217536 Enrollment ID: I20240104000068 |
| Provider Name | Jessica Heredia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811252307 PECOS PAC ID: 0345691382 Enrollment ID: I20240104000263 |
| Provider Name | Eleanor A Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356916043 PECOS PAC ID: 0648621508 Enrollment ID: I20240105000043 |
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