| The Mind Garden, Llc | |
|
714 Pine St # 1044 Herndon VA 20170-4660 | |
| (240) 343-5557 | |
| Not Available |
| Full Name | The Mind Garden, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 714 Pine St # 1044, Herndon, Virginia |
| Authorized Official Name and Position | Jennifer Parker (OWNER, RESIDENT IN COUNSELING) |
| Authorized Official Contact | 2403435557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind Garden, Llc Po Box 365 Bunker Hill WV 25413-0365 Ph: (240) 343-5557 | The Mind Garden, Llc 714 Pine St # 1044 Herndon VA 20170-4660 Ph: (240) 343-5557 |
| NPI Number | 1548043052 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548043052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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