| Wandering Mind Llc | |
|
1214 1st Ave Ste 270 Columbus GA 31901-4276 | |
| (706) 566-2386 | |
| Not Available |
| Full Name | Wandering Mind Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1214 1st Ave Ste 270, Columbus, Georgia |
| Authorized Official Name and Position | Jessica Melendez Tyler (CLINICAL THERAPIST) |
| Authorized Official Contact | 7068876464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wandering Mind Llc 1214 1st Ave Ste 270 Columbus GA 31901-4276 Ph: (706) 566-2386 | Wandering Mind Llc 1214 1st Ave Ste 270 Columbus GA 31901-4276 Ph: (706) 566-2386 |
| NPI Number | 1588133607 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 01/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588133607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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