| Mindful Healing Counseling Services | |
|
2102 S Ridgewood Ave Ste 13&17 Edgewater FL 32141-4240 | |
| (386) 402-8346 | |
| Not Available |
| Full Name | Mindful Healing Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 2102 S Ridgewood Ave Ste 13&17, Edgewater, Florida |
| Authorized Official Name and Position | Carmen Michele Virtuoso (PRACTICE OWNER) |
| Authorized Official Contact | 9175094038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Healing Counseling Services 2102 S Ridgewood Ave Ste 13&17 Edgewater FL 32141-4240 Ph: (386) 402-8346 | Mindful Healing Counseling Services 2102 S Ridgewood Ave Ste 13&17 Edgewater FL 32141-4240 Ph: (386) 402-8346 |
| NPI Number | 1528794336 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Medicare PECOS PAC ID | 1759757867 |
|---|---|
| Medicare Enrollment ID | O20221014000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528794336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carmen Michele Virtuoso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336871854 PECOS PAC ID: 2668848771 Enrollment ID: I20221014000723 |
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Mindful Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 S Ridgewood Ave Ste 17, Edgewater, FL 32141 Phone: 386-402-8346 |