| Mind Health Llc | |
|
4030 State Highway 6 S Ste 380 College Station TX 77845-1802 | |
| (979) 485-1635 | |
| Not Available |
| Full Name | Mind Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4030 State Highway 6 S Ste 380, College Station, Texas |
| Authorized Official Name and Position | April Deleon (OWNER) |
| Authorized Official Contact | 3616768853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Health Llc 2612 Hailes Ct College Station TX 77845-1216 Ph: () - | Mind Health Llc 4030 State Highway 6 S Ste 380 College Station TX 77845-1802 Ph: (979) 485-1635 |
| NPI Number | 1922702976 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 9638515117 |
|---|---|
| Medicare Enrollment ID | O20240306003313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922702976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | April J Deleon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841329547 PECOS PAC ID: 7113196775 Enrollment ID: I20110816000587 |
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