| The Immaculate Mind Consult, Llc | |
| 1060 Hawkins Run Rd Core WV 26541-7186 | |
| (681) 441-2687 | |
| Not Available | 
| Full Name | The Immaculate Mind Consult, Llc | 
|---|---|
| Speciality | Counselor - Professional | 
| Location | 1060 Hawkins Run Rd, Core, West Virginia | 
| Authorized Official Name and Position | Jennifer Nicole Morris (CLINICAL THERAPIST) | 
| Authorized Official Contact | 3046926714 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| The Immaculate Mind Consult, Llc 1060 Hawkins Run Rd Core WV 26541-7186 Ph: () - | The Immaculate Mind Consult, Llc 1060 Hawkins Run Rd Core WV 26541-7186 Ph: (681) 441-2687 | 
| NPI Number | 1346081049 | 
|---|---|
| Provider Enumeration Date | 06/05/2024 | 
| Last Update Date | 06/05/2024 | 
| Certification Date | 06/05/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346081049 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |