| Mind Trek Counseling Llc | |
|
2460 Fairmount Blvd Ste 209 Cleveland Heights OH 44106-3125 | |
| (216) 777-9587 | |
| Not Available |
| Full Name | Mind Trek Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2460 Fairmount Blvd Ste 209, Cleveland Heights, Ohio |
| Authorized Official Name and Position | Shiyue Qin (OWNER) |
| Authorized Official Contact | 2167779587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Trek Counseling Llc 2460 Fairmount Blvd Ste 209 Cleveland Heights OH 44106-3125 Ph: (216) 777-9587 | Mind Trek Counseling Llc 2460 Fairmount Blvd Ste 209 Cleveland Heights OH 44106-3125 Ph: (216) 777-9587 |
| NPI Number | 1467035097 |
|---|---|
| Provider Enumeration Date | 05/02/2021 |
| Last Update Date | 05/02/2021 |
| Certification Date | 05/02/2021 |
| Medicare PECOS PAC ID | 8123556685 |
|---|---|
| Medicare Enrollment ID | O20250110003080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467035097 | NPI | - | NPPES |
| Provider Name | Shiyue Qin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871071415 PECOS PAC ID: 3678001138 Enrollment ID: I20250110003135 |
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