| Mind Right, Llc | |
|
1951 Gault Ave N Fort Payne AL 35967-3417 | |
| (256) 273-6800 | |
| Not Available |
| Full Name | Mind Right, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1951 Gault Ave N, Fort Payne, Alabama |
| Authorized Official Name and Position | Heather Henry (OWNER) |
| Authorized Official Contact | 2562736800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Right, Llc 1951 Gault Ave N Fort Payne AL 35967-3417 Ph: (256) 273-6800 | Mind Right, Llc 1951 Gault Ave N Fort Payne AL 35967-3417 Ph: (256) 273-6800 |
| NPI Number | 1518685767 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Medicare PECOS PAC ID | 2365827052 |
|---|---|
| Medicare Enrollment ID | O20220915003804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518685767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kari B Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487090155 PECOS PAC ID: 1759704554 Enrollment ID: I20200713002449 |
| Provider Name | Heather B Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225794803 PECOS PAC ID: 3274918966 Enrollment ID: I20220916001396 |
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