| Mind Body Splendid Sun | |
| 185 Montreal Way Falling Waters WV 25419-0109 | |
| (681) 242-3799 | |
| Not Available | 
| Full Name | Mind Body Splendid Sun | 
|---|---|
| Speciality | Social Worker | 
| Location | 185 Montreal Way, Falling Waters, West Virginia | 
| Authorized Official Name and Position | Micheal Lee (MANAGER CREDENTIALING) | 
| Authorized Official Contact | 7867917529 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mind Body Splendid Sun 100 Middletown Pkwy Unit 202 Middletown MD 21769-7767 Ph: () - | Mind Body Splendid Sun 185 Montreal Way Falling Waters WV 25419-0109 Ph: (681) 242-3799 | 
| NPI Number | 1104638519 | 
|---|---|
| Provider Enumeration Date | 01/22/2025 | 
| Last Update Date | 02/02/2025 | 
| Certification Date | 02/02/2025 | 
| Medicare PECOS PAC ID | 8022531086 | 
|---|---|
| Medicare Enrollment ID | O20250331002075 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104638519 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Rachel Matthews | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1063126183 PECOS PAC ID: 0244688356 Enrollment ID: I20231130001162 | 
| Hope & Healing Counseling West Virginia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Bryn Mawr Ct, Falling Waters, WV 25419 Phone: 855-453-6611 Fax: 973-200-8137 | |
| Hope & Healing Counseling West Virginia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Bryn Mawr Ct, Falling Waters, WV 25419 Phone: 855-453-6611 Fax: 973-200-8137 |