| Mindoula Health Inc. | |
|
232 Capitol St Charleston WV 25301-2234 | |
| (888) 879-9786 | |
| Not Available |
| Full Name | Mindoula Health Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 232 Capitol St, Charleston, West Virginia |
| Authorized Official Name and Position | Gregory Couto (SVP OPERATIONS) |
| Authorized Official Contact | 9546502802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindoula Health Inc. 8040 Georgia Ave Ste 170 Silver Spring MD 20910-4959 Ph: () - | Mindoula Health Inc. 232 Capitol St Charleston WV 25301-2234 Ph: (888) 879-9786 |
| NPI Number | 1154948180 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154948180 | NPI | - | NPPES |
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