| Mind Over Matters Therapeutic & Wellness Services, Llc | |
|
109 Rhode Island Rd Lakeville MA 02347-1370 | |
| (774) 209-2372 | |
| Not Available |
| Full Name | Mind Over Matters Therapeutic & Wellness Services, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 109 Rhode Island Rd, Lakeville, Massachusetts |
| Authorized Official Name and Position | Sharonda L Bagwell (OWNER) |
| Authorized Official Contact | 7742092372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Over Matters Therapeutic & Wellness Services, Llc 109 Rhode Island Rd Ste 4b Lakeville MA 02347-1370 Ph: (774) 209-2372 | Mind Over Matters Therapeutic & Wellness Services, Llc 109 Rhode Island Rd Lakeville MA 02347-1370 Ph: (774) 209-2372 |
| NPI Number | 1265271639 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Medicare PECOS PAC ID | 6406384049 |
|---|---|
| Medicare Enrollment ID | O20250110001520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265271639 | NPI | - | NPPES |
| Provider Name | Sharonda L Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871371559 PECOS PAC ID: 8426498148 Enrollment ID: I20240429002560 |
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