The Immaculate Mind Consult, Llc | |
1060 Hawkins Run Rd Core WV 26541-7186 | |
(681) 441-2687 | |
Not Available |
Full Name | The Immaculate Mind Consult, Llc |
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Speciality | Counselor - Professional |
Location | 1060 Hawkins Run Rd, Core, West Virginia |
Authorized Official Name and Position | Jennifer Nicole Morris (CLINICAL THERAPIST) |
Authorized Official Contact | 3046926714 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Immaculate Mind Consult, Llc 1060 Hawkins Run Rd Core WV 26541-7186 Ph: () - | The Immaculate Mind Consult, Llc 1060 Hawkins Run Rd Core WV 26541-7186 Ph: (681) 441-2687 |
NPI Number | 1346081049 |
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Provider Enumeration Date | 06/05/2024 |
Last Update Date | 06/05/2024 |
Certification Date | 06/05/2024 |
Identifier | Type | State | Issuer |
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1346081049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |