| Evolving Mind And Body, Llc | |
|
200 Manchonis Rd Ext Wilbraham MA 01095-1414 | |
| (413) 279-4424 | |
| Not Available |
| Full Name | Evolving Mind And Body, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 Manchonis Rd Ext, Wilbraham, Massachusetts |
| Authorized Official Name and Position | Andrea Bailey (OWNER) |
| Authorized Official Contact | 4132794424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Mind And Body, Llc 200 Manchonis Rd Ext Wilbraham MA 01095-1414 Ph: (413) 279-4424 | Evolving Mind And Body, Llc 200 Manchonis Rd Ext Wilbraham MA 01095-1414 Ph: (413) 279-4424 |
| NPI Number | 1851171698 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851171698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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