| Kinder Mind LLC | |
|
6 Liberty Sq Boston MA 02109-5800 | |
| (508) 322-1487 | |
| Not Available |
| Full Name | Kinder Mind LLC |
|---|---|
| Speciality | Social Worker |
| Location | 6 Liberty Sq, Boston, Massachusetts |
| Authorized Official Name and Position | Mary Elizabeth Barlow (PRESIDENT) |
| Authorized Official Contact | 5083221487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinder Mind LLC 1128 Wayne Lee Rd Lucedale MS 39452-7233 Ph: (866) 846-7765 | Kinder Mind LLC 6 Liberty Sq Boston MA 02109-5800 Ph: (508) 322-1487 |
| NPI Number | 1871290593 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 03/18/2025 |
| Certification Date | 03/18/2025 |
| Medicare PECOS PAC ID | 3072043116 |
|---|---|
| Medicare Enrollment ID | O20250205001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871290593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Mary Elizabeth Barlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376908533 PECOS PAC ID: 4981134020 Enrollment ID: I20250205001361 |
| Provider Name | Emily Goff Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609429083 PECOS PAC ID: 0749764223 Enrollment ID: I20260323002666 |
| Provider Name | Katherine Kalina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538922992 PECOS PAC ID: 8527553973 Enrollment ID: I20260609003581 |
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