| 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 |