| Wellmind Licensed Clinical Social Worker Pc | |
|
2100 Geng Rd Ste 210 Palo Alto CA 94303-3307 | |
| (833) 646-3243 | |
| Not Available |
| Full Name | Wellmind Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2100 Geng Rd Ste 210, Palo Alto, California |
| Authorized Official Name and Position | Laura Beann (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8336463243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmind Licensed Clinical Social Worker Pc 2100 Geng Rd Ste 210 Palo Alto CA 94303-3307 Ph: (833) 646-3243 | Wellmind Licensed Clinical Social Worker Pc 2100 Geng Rd Ste 210 Palo Alto CA 94303-3307 Ph: (833) 646-3243 |
| NPI Number | 1003504481 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003504481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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