Mind Meld Psychotherapy Pllc

LBN: Mind Meld Psychotherapy Pllc
Mind Meld Psychotherapy Pllc is an health care organization with primary practice located at 3530 N Courthouse Rd , Providence Forge VA 23140-3408. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Mind Meld Psychotherapy Pllc can be contacted via phone (804) 409-7525, or through Engel, Keith Oso via phone (804) 409-7525.

Contact Information

Primary practice address
3530 N Courthouse Rd Providence Forge VA 23140-3408
Phone: (804) 409-7525
Fax: (804) 315-9380
Website:
Map and Directions
Authorized official contact:
Name: Engel, Keith Oso Licensed Clinical Social Worker (LCSW)
Phone: (804) 409-7525

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1114599958
LBN Legal business name Mind Meld Psychotherapy Pllc
DBA Doing business as
Authorized official Engel, Keith Oso Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2021
Last updated Jan 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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