| Pure Mind Counseling Group | |
|
6741 Clark Rd Powhatan VA 23139-6419 | |
| (804) 491-5300 | |
| Not Available |
| Full Name | Pure Mind Counseling Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6741 Clark Rd, Powhatan, Virginia |
| Authorized Official Name and Position | Tamika L Massenburg (PREAIDENT) |
| Authorized Official Contact | 8049983393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Mind Counseling Group 6741 Clark Rd Powhatan VA 23139-6419 Ph: (804) 491-5300 | Pure Mind Counseling Group 6741 Clark Rd Powhatan VA 23139-6419 Ph: (804) 491-5300 |
| NPI Number | 1265062871 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265062871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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