| Mind And Body Solutions Llc | |
|
219 Ross Ave Ste 100 Schofield WI 54476-6110 | |
| (715) 297-4635 | |
| (715) 298-0749 |
| Full Name | Mind And Body Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 219 Ross Ave Ste 100, Schofield, Wisconsin |
| Authorized Official Name and Position | Juelette Higuera (OWNER) |
| Authorized Official Contact | 7152974635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Solutions Llc 219 Ross Ave Ste 100 Schofield WI 54476-6110 Ph: (715) 297-4635 | Mind And Body Solutions Llc 219 Ross Ave Ste 100 Schofield WI 54476-6110 Ph: (715) 297-4635 |
| NPI Number | 1457119505 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 1658891403 |
|---|---|
| Medicare Enrollment ID | O20250224001230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457119505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Juelette Higuera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073671681 PECOS PAC ID: 4082840202 Enrollment ID: I20131118001700 |
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