| Mending Minds Wellness Center | |
|
1401 Mercantile Lane Suite 485 Largo MD 20774-2005 | |
| (301) 615-1911 | |
| Not Available |
| Full Name | Mending Minds Wellness Center |
|---|---|
| Speciality | Social Worker |
| Location | 1401 Mercantile Lane, Largo, Maryland |
| Authorized Official Name and Position | Jene Colette Gould (PSYHOTHERAPIST) |
| Authorized Official Contact | 3016151911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Minds Wellness Center 12138 Central Ave Ste 937 Mitchellville MD 20721-1910 Ph: (240) 484-7112 | Mending Minds Wellness Center 1401 Mercantile Lane Suite 485 Largo MD 20774-2005 Ph: (301) 615-1911 |
| NPI Number | 1114584091 |
|---|---|
| Provider Enumeration Date | 05/25/2019 |
| Last Update Date | 08/20/2019 |
| Medicare PECOS PAC ID | 6204166697 |
|---|---|
| Medicare Enrollment ID | O20190927001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114584091 | NPI | - | NPPES |
| Provider Name | Jene C Gould |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114334893 PECOS PAC ID: 4981967932 Enrollment ID: I20180404002615 |
Partner Suites Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln, Suite 208, Largo, MD 20774 Phone: 301-627-4777 Fax: 301-627-8939 | |
Avenel Holistic Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln Ste 142, Largo, MD 20774 Phone: 240-451-8300 Fax: 240-451-8305 | |
Prestige Healthcare Resources Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Medical Center Dr Ste 104, Largo, MD 20774 Phone: 240-269-7374 | |
Because We Care Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9701 Apollo Dr Ste 410, Largo, MD 20774 Phone: 240-573-7159 | |
Sonja Williams And Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9701 Apollo Dr Ste 491, Largo, MD 20774 Phone: 301-386-5511 | |
Metropolitan Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Mercantile Ln Ste 423, Largo, MD 20774 Phone: 301-851-5954 Fax: 301-851-5932 | |
Center For Therapeutic Concepts, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln, Suite 200, Largo, MD 20774 Phone: 301-386-2991 Fax: 301-386-1944 |