| Healing Minds Pllc | |
|
3201 Landover St Apt 916 Alexandria VA 22305-1923 | |
| (571) 572-9506 | |
| Not Available |
| Full Name | Healing Minds Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3201 Landover St Apt 916, Alexandria, Virginia |
| Authorized Official Name and Position | Michaela Fitzgerald (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6314569838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Minds Pllc 3201 Landover St Apt 916 Alexandria VA 22305-1923 Ph: () - | Healing Minds Pllc 3201 Landover St Apt 916 Alexandria VA 22305-1923 Ph: (571) 572-9506 |
| NPI Number | 1902597479 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Medicare PECOS PAC ID | 7911366463 |
|---|---|
| Medicare Enrollment ID | O20230701000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902597479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michaela Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619575032 PECOS PAC ID: 8820457377 Enrollment ID: I20230715000257 |
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