| Mindful Soul Counseling, Llc | |
|
2 Main St Ste 18-223 Biddeford ME 04005-2069 | |
| (207) 286-5400 | |
| Not Available |
| Full Name | Mindful Soul Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2 Main St Ste 18-223, Biddeford, Maine |
| Authorized Official Name and Position | Elizabeth Wallner (MANAGER) |
| Authorized Official Contact | 2072865400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Soul Counseling, Llc 2 Main St Ste 18-223 Biddeford ME 04005-2069 Ph: (207) 286-5400 | Mindful Soul Counseling, Llc 2 Main St Ste 18-223 Biddeford ME 04005-2069 Ph: (207) 286-5400 |
| NPI Number | 1023617578 |
|---|---|
| Provider Enumeration Date | 10/25/2020 |
| Last Update Date | 10/25/2020 |
| Certification Date | 10/25/2020 |
| Medicare PECOS PAC ID | 4183077670 |
|---|---|
| Medicare Enrollment ID | O20240131004327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023617578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth G Wallner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457581548 PECOS PAC ID: 5092168583 Enrollment ID: I20240131004408 |
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