| Original Mind Plc | |
|
117 W Main St Richmond VT 05477-4451 | |
| (347) 688-3466 | |
| Not Available |
| Full Name | Original Mind Plc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 117 W Main St, Richmond, Vermont |
| Authorized Official Name and Position | Logan Hegg (OWNER) |
| Authorized Official Contact | 3476883466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Original Mind Plc Po Box 1079 Richmond VT 05477-1079 Ph: (347) 688-3466 | Original Mind Plc 117 W Main St Richmond VT 05477-4451 Ph: (347) 688-3466 |
| NPI Number | 1376012377 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 11/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376012377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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