Clear Your Mind Mental Health Counseling Services Pllc | |
3685 Harlem Rd Ste 101b Cheektowaga NY 14215-2046 | |
(716) 848-0568 | |
Not Available |
Full Name | Clear Your Mind Mental Health Counseling Services Pllc |
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Speciality | Counselor |
Location | 3685 Harlem Rd Ste 101b, Cheektowaga, New York |
Authorized Official Name and Position | Nicole Mcilwain (OWNER) |
Authorized Official Contact | 7168480568 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clear Your Mind Mental Health Counseling Services Pllc 3685 Harlem Rd Ste 101b Cheektowaga NY 14215-2046 Ph: (716) 848-0568 | Clear Your Mind Mental Health Counseling Services Pllc 3685 Harlem Rd Ste 101b Cheektowaga NY 14215-2046 Ph: (716) 848-0568 |
NPI Number | 1093543688 |
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Provider Enumeration Date | 07/24/2024 |
Last Update Date | 02/25/2025 |
Certification Date | 02/25/2025 |
Medicare PECOS PAC ID | 7911435094 |
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Medicare Enrollment ID | O20250117000429 |
Identifier | Type | State | Issuer |
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1093543688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Nicole L Mcilwain |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1952092512 PECOS PAC ID: 0648709725 Enrollment ID: I20250121000105 |
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