| Mindmender Counseling Services, Pllc | |
|
19824 W Catawba Ave Suite G-205 Cornelius NC 28031-4046 | |
| (704) 892-1828 | |
| Not Available |
| Full Name | Mindmender Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 19824 W Catawba Ave, Cornelius, North Carolina |
| Authorized Official Name and Position | Colleen Mary Serreno (OWNER) |
| Authorized Official Contact | 7048921828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindmender Counseling Services, Pllc Po Box 2067 Cornelius NC 28031-2067 Ph: () - | Mindmender Counseling Services, Pllc 19824 W Catawba Ave Suite G-205 Cornelius NC 28031-4046 Ph: (704) 892-1828 |
| NPI Number | 1467720565 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467720565 | NPI | - | NPPES |
| 56162 | Other | NC | MEDCOST |
| 6102349 | Medicaid | NC | |
| 2056553 | Other | NC | CIGNA |
| 130WW | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
| 369641 | Other | NC | UNITED BEHAVIORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 3977 (North Carolina) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1132 (North Carolina) | Secondary |
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