| Open Mind, Llc | |
|
222 S Frances St South Bend IN 46617-3004 | |
| (574) 210-0771 | |
| (574) 314-6486 |
| Full Name | Open Mind, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 222 S Frances St, South Bend, Indiana |
| Authorized Official Name and Position | Crystal Whitlow (OWNER/EMPLOYEE) |
| Authorized Official Contact | 5742100771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Mind, Llc 222 S Frances St South Bend IN 46617-3004 Ph: (574) 210-0771 | Open Mind, Llc 222 S Frances St South Bend IN 46617-3004 Ph: (574) 210-0771 |
| NPI Number | 1477204881 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 01/17/2022 |
| Certification Date | 01/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477204881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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