| Health In Mind Llc | |
|
73 S Palm Ave Ste 215 Sarasota FL 34236-5612 | |
| (941) 320-0501 | |
| Not Available |
| Full Name | Health In Mind Llc |
|---|---|
| Speciality | Psychologist |
| Location | 73 S Palm Ave Ste 215, Sarasota, Florida |
| Authorized Official Name and Position | Jessie Williams (OWNER) |
| Authorized Official Contact | 9413200501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health In Mind Llc 2142 Alameda Ave Sarasota FL 34234-8341 Ph: (941) 320-0501 | Health In Mind Llc 73 S Palm Ave Ste 215 Sarasota FL 34236-5612 Ph: (941) 320-0501 |
| NPI Number | 1801131354 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 12/10/2012 |
| Medicare PECOS PAC ID | 5092969519 |
|---|---|
| Medicare Enrollment ID | O20130211000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801131354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5957 (Florida) | Primary |
| Provider Name | Jessie R Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639204647 PECOS PAC ID: 1355418757 Enrollment ID: I20080927000000 |
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