| Kind Mind Therapy LLC | |
|
171 Tonset Rd Orleans MA 02653-2611 | |
| (508) 274-8742 | |
| Not Available |
| Full Name | Kind Mind Therapy LLC |
|---|---|
| Speciality | Social Worker |
| Location | 171 Tonset Rd, Orleans, Massachusetts |
| Authorized Official Name and Position | Elizabeth Gergely (OWNER) |
| Authorized Official Contact | 5082748742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kind Mind Therapy LLC 171 Tonset Rd Orleans MA 02653-2611 Ph: (508) 274-8742 | Kind Mind Therapy LLC 171 Tonset Rd Orleans MA 02653-2611 Ph: (508) 274-8742 |
| NPI Number | 1437030830 |
|---|---|
| Provider Enumeration Date | 09/11/2025 |
| Last Update Date | 09/11/2025 |
| Certification Date | 09/11/2025 |
| Medicare PECOS PAC ID | 6002304557 |
|---|---|
| Medicare Enrollment ID | O20251024002896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437030830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Elizabeth Gergely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215524749 PECOS PAC ID: 7618465162 Enrollment ID: I20251112002954 |
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