| Mindful Zoul Psychosocial Services | |
|
12 Calle Pineiro Ste 1 Isabela PR 00662-3498 | |
| (787) 431-6948 | |
| Not Available |
| Full Name | Mindful Zoul Psychosocial Services |
|---|---|
| Speciality | Social Worker |
| Location | 12 Calle Pineiro Ste 1, Isabela, Puerto Rico |
| Authorized Official Name and Position | Kathia J Colon-gonzalez (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7874316948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Zoul Psychosocial Services 12 Calle Pineiro Ste 1 Isabela PR 00662-3498 Ph: (787) 431-6948 | Mindful Zoul Psychosocial Services 12 Calle Pineiro Ste 1 Isabela PR 00662-3498 Ph: (787) 431-6948 |
| NPI Number | 1396409157 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 04/29/2024 |
| Certification Date | 07/18/2022 |
| Medicare PECOS PAC ID | 0941681340 |
|---|---|
| Medicare Enrollment ID | O20220718000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396409157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathia Colon-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376164889 PECOS PAC ID: 8123409539 Enrollment ID: I20220721001399 |
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