| Heart Mind Wellness, Llc | |
|
20007 Hoffstead Ln Montgomery Village MD 20886-1431 | |
| (240) 230-6311 | |
| Not Available |
| Full Name | Heart Mind Wellness, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 20007 Hoffstead Ln, Montgomery Village, Maryland |
| Authorized Official Name and Position | Debra L Anderson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2402306311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Mind Wellness, Llc 20007 Hoffstead Ln Montgomery Village MD 20886-1431 Ph: (240) 230-6311 | Heart Mind Wellness, Llc 20007 Hoffstead Ln Montgomery Village MD 20886-1431 Ph: (240) 230-6311 |
| NPI Number | 1063254225 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 6709322969 |
|---|---|
| Medicare Enrollment ID | O20240724000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063254225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debra Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619066107 PECOS PAC ID: 6204890205 Enrollment ID: I20100303000598 |
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