| Mind Wellness Institute, Llc | |
|
77 Fairbanks Rd Brockton MA 02302-4507 | |
| (978) 605-0080 | |
| Not Available |
| Full Name | Mind Wellness Institute, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 77 Fairbanks Rd, Brockton, Massachusetts |
| Authorized Official Name and Position | Yvonne M Dejean (FOUNDER & CLINICAL DIRECTOR) |
| Authorized Official Contact | 9786050080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Wellness Institute, Llc 233 Broad St Ste 13a Bridgewater MA 02324-1800 Ph: () - | Mind Wellness Institute, Llc 77 Fairbanks Rd Brockton MA 02302-4507 Ph: (978) 605-0080 |
| NPI Number | 1467251389 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467251389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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