| Mindfulness Therapy Llc | |
|
820 Forky Farm Rd Bruceton Mills WV 26525-6502 | |
| (302) 723-2855 | |
| Not Available |
| Full Name | Mindfulness Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 820 Forky Farm Rd, Bruceton Mills, West Virginia |
| Authorized Official Name and Position | Denise Corrado (OWNER/THERAPIST) |
| Authorized Official Contact | 3027232855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfulness Therapy Llc 820 Forky Farm Rd Bruceton Mills WV 26525-6502 Ph: (302) 723-2855 | Mindfulness Therapy Llc 820 Forky Farm Rd Bruceton Mills WV 26525-6502 Ph: (302) 723-2855 |
| NPI Number | 1801368055 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 09/06/2023 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 2264772003 |
|---|---|
| Medicare Enrollment ID | O20190314001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801368055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Denise Corrado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407840358 PECOS PAC ID: 2466509153 Enrollment ID: I20170629000962 |
Serenity Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Beavertail Dr, Bruceton Mills, WV 26525 Phone: 812-629-3994 |