| Mindwell Llc | |
|
16 Mills Ave Ste 6 Greenville SC 29605-4065 | |
| (864) 735-8080 | |
| Not Available |
| Full Name | Mindwell Llc |
|---|---|
| Speciality | Anesthesiology |
| Location | 16 Mills Ave Ste 6, Greenville, South Carolina |
| Authorized Official Name and Position | Jarod Motley (FOUNDER/ CEO) |
| Authorized Official Contact | 8647358080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindwell Llc 16 Mills Ave Ste 6 Greenville SC 29605-4065 Ph: () - | Mindwell Llc 16 Mills Ave Ste 6 Greenville SC 29605-4065 Ph: (864) 735-8080 |
| NPI Number | 1699491852 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 9931578606 |
|---|---|
| Medicare Enrollment ID | O20221220001345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699491852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Primary |
| Provider Name | Jarod Motley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578644704 PECOS PAC ID: 5799818746 Enrollment ID: I20100728000768 |
| Provider Name | April Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649623323 PECOS PAC ID: 9830478718 Enrollment ID: I20161116002617 |
| Provider Name | Elizabeth Morris Motley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861807497 PECOS PAC ID: 4486876224 Enrollment ID: I20171002000196 |
| Provider Name | Laura K Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265078380 PECOS PAC ID: 8628499647 Enrollment ID: I20200529002387 |
| Provider Name | Deanna Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245099019 PECOS PAC ID: 7315387222 Enrollment ID: I20240425002015 |
| Provider Name | Jennifer P Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023868205 PECOS PAC ID: 1557803665 Enrollment ID: I20240604003905 |
| Provider Name | Karly Brianna Garmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972367035 PECOS PAC ID: 3274074877 Enrollment ID: I20240923004182 |
| Provider Name | Emily Rose Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417527326 PECOS PAC ID: 4789112673 Enrollment ID: I20250106001703 |
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