| Create Mindful Moments, LLC | |
|
454 Anderson Rd S Ste 402c Rock Hill SC 29730-3398 | |
| (803) 833-9792 | |
| Not Available |
| Full Name | Create Mindful Moments, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 454 Anderson Rd S Ste 402c, Rock Hill, South Carolina |
| Authorized Official Name and Position | Maya Scarbrough (OWNER) |
| Authorized Official Contact | 8038339792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Mindful Moments, LLC 16420 Hawfield Farms Rd Apt 1922 Charlotte NC 28277-4248 | Create Mindful Moments, LLC 454 Anderson Rd S Ste 402c Rock Hill SC 29730-3398 Ph: (803) 833-9792 |
| NPI Number | 1336013143 |
|---|---|
| Provider Enumeration Date | 10/03/2025 |
| Last Update Date | 10/03/2025 |
| Certification Date | 10/03/2025 |
| Medicare PECOS PAC ID | 3476038647 |
|---|---|
| Medicare Enrollment ID | O20260326001823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336013143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Maya Scarbrough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457137481 PECOS PAC ID: 4385129550 Enrollment ID: I20260326002028 |
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