| Mind Body Institute Beyond | |
|
450 W Hanes Mill Rd Suite Number 224 Winston Salem NC 27105-9141 | |
| (336) 298-8303 | |
| Not Available |
| Full Name | Mind Body Institute Beyond |
|---|---|
| Speciality | Psychologist |
| Location | 450 W Hanes Mill Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | David L. Mount (PRESIDENT/CEO) |
| Authorized Official Contact | 3362988303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Institute Beyond 882 Montrachet Ct Lewisville NC 27023-8369 Ph: (336) 298-8303 | Mind Body Institute Beyond 450 W Hanes Mill Rd Suite Number 224 Winston Salem NC 27105-9141 Ph: (336) 298-8303 |
| NPI Number | 1073906335 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Medicare PECOS PAC ID | 0547587438 |
|---|---|
| Medicare Enrollment ID | O20150403000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073906335 | NPI | - | NPPES |
| Provider Name | David L Mount |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962640748 PECOS PAC ID: 3173689981 Enrollment ID: I20090303000520 |
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