Mind Meld Psychotherapy Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Providence Forge, Virginia. The current practice location for Mind Meld Psychotherapy Pllc is 3530 N Courthouse Rd, Providence Forge, Virginia. For appointments, you can reach them via phone at (804) 409-7525. The mailing address for Mind Meld Psychotherapy Pllc is 3530 N Courthouse Rd, Providence Forge, Virginia and phone number is (804) 409-7525.
Mind Meld Psychotherapy Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114599958. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (804) 409-7525.
Contact Information
Mind Meld Psychotherapy Pllc
3530 N Courthouse Rd Providence Forge VA 23140-3408
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Mind Meld Psychotherapy Pllc 3530 N Courthouse Rd Providence Forge VA 23140-3408 Ph: (804) 409-7525
Mind Meld Psychotherapy Pllc 3530 N Courthouse Rd Providence Forge VA 23140-3408 Ph: (804) 409-7525
NPI Details:
NPI Number
1114599958
Provider Enumeration Date
07/12/2021
Last Update Date
01/11/2023
Certification Date
01/11/2023
Medicare PECOS Information:
Medicare PECOS PAC ID
8426454802
Medicare Enrollment ID
O20210909003773
Medical Identifiers
Medical identifiers for Mind Meld Psychotherapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1114599958
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
103T00000X
Psychologist
(* (Not Available))
Secondary
1041C0700X
Social Worker - Clinical
(* (Not Available))
Primary
1041S0200X
Social Worker - School
(* (Not Available))
Secondary
2084P0800X
Psychiatry & Neurology - Psychiatry
(* (Not Available))
Secondary
363LP0808X
Nurse Practitioner - Psychiatric/mental Health
(* (Not Available))
Secondary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mind Meld Psychotherapy Pllc acts as a billing entity for following providers: