| Mindful Therapeutic Practices | |
|
4581 Lifestyle Ln Midlothian VA 23112-4807 | |
| (804) 229-4292 | |
| (804) 234-8011 |
| Full Name | Mindful Therapeutic Practices |
|---|---|
| Speciality | Social Worker |
| Location | 4581 Lifestyle Ln, Midlothian, Virginia |
| Authorized Official Name and Position | Erika L Brown (OWNER) |
| Authorized Official Contact | 8042294292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Therapeutic Practices 4506 Inchcape Ct Moseley VA 23120-1297 Ph: (804) 229-4292 | Mindful Therapeutic Practices 4581 Lifestyle Ln Midlothian VA 23112-4807 Ph: (804) 229-4292 |
| NPI Number | 1538566799 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/18/2015 |
| Medicare PECOS PAC ID | 0345553905 |
|---|---|
| Medicare Enrollment ID | O20150725012592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538566799 | NPI | - | NPPES |
| 1801230271 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008198 (Virginia) | Primary |
| Provider Name | Erika Lynn Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801230271 PECOS PAC ID: 6608018460 Enrollment ID: I20130808000072 |
| Provider Name | Scott B Kegley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336917947 PECOS PAC ID: 9436592268 Enrollment ID: I20240208003496 |
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Care & Wellness Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8119 Nashua Dr, Midlothian, VA 23112 Phone: 267-709-1186 | |
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