Mending Minds Wellness Center

NPI #1114584091 in Largo, Maryland

Provider Information

NPI Number: 1114584091
Entity Type: Organization
Organization Name: Mending Minds Wellness Center
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 25, 2019
Last Updated: Aug 20, 2019

Practice Location

Address: 1401 MERCANTILE LANE
Address 2: SUITE 485
City: Largo
State: Maryland
ZIP Code: 20774-2005
Phone: (301) 615-1911

Authorized Official

Name: MS. JENE COLETTE GOULD, LCSW-C
Title: PSYHOTHERAPIST
Phone: (301) 615-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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