| Mindful Wellness Psychological Services, Llc | |
|
7575 Leavitt Rd Amherst OH 44001-2701 | |
| (440) 773-3032 | |
| Not Available |
| Full Name | Mindful Wellness Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7575 Leavitt Rd, Amherst, Ohio |
| Authorized Official Name and Position | Evelyn Garland (CONTRACTING MANAGER) |
| Authorized Official Contact | 4042135329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Wellness Psychological Services, Llc 1438 W 30th St Lorain OH 44052-4352 Ph: (440) 773-7277 | Mindful Wellness Psychological Services, Llc 7575 Leavitt Rd Amherst OH 44001-2701 Ph: (440) 773-3032 |
| NPI Number | 1346836640 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Medicare PECOS PAC ID | 6103214515 |
|---|---|
| Medicare Enrollment ID | O20211103002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346836640 | NPI | - | NPPES |
| 1801124730 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Denise Eacott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801124730 PECOS PAC ID: 2062557473 Enrollment ID: I20211103002210 |
| Provider Name | Regina Costantino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629624655 PECOS PAC ID: 6103367925 Enrollment ID: I20240920000493 |
Caleb Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Milan Ave, Amherst, OH 44001 Phone: 203-206-8493 | |
Hope Counseling & Consultation Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 47375 Cooper Foster Park Rd, Amherst, OH 44001 Phone: 440-370-3007 | |
Evolve Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 N Leavitt Rd, Amherst, OH 44001 Phone: 440-644-0745 | |
Cocoon And Bloom Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 976 Jonathan St, Amherst, OH 44001 Phone: 440-305-0556 | |
Spectrum Of Psychiatric And Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 556 N. Leavitt Rd., Amherst, OH 44001 Phone: 440-985-7777 | |
Far West Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 554 N Leavitt Rd, Amherst, OH 44001 Phone: 440-988-4900 Fax: 440-988-4910 |