A CLEAN MIND LLC , NPI 1679000350
Social Worker in PENSACOLA, FL
Last Updated on : May 12,2017
About A CLEAN MIND LLC (NPI 1679000350)
A CLEAN MIND LLC is a Social Worker in PENSACOLA, United States with a focus in Clinical .
1679000350 is NPI number of A CLEAN MIND LLC.
A CLEAN MIND LLC's primary taxonomy code based on NPI Lookup is 1041C0700X with license number SW11608. This taxonomy code refers to Social Worker.
A CLEAN MIND LLC current practice location address is 1610 E WRIGHT ST, PENSACOLA, FL. A CLEAN MIND LLC can be reached out via phone at 850-501-1150 .
You can also correspond with A CLEAN MIND LLC through mail at mailing address 605 E GOVERNMENT ST, PENSACOLA, FL, United States. Mailing address contact number is 850-501-1150.
The enumeration date of A CLEAN MIND LLC is 12-May-2017. The provider is registered as an Organization and the NPI record was last updated 6 years ago. The authorized official of A CLEAN MIND LLC is ASHLEY PENNEWILL (Owner). ASHLEY PENNEWILL can be reached at 8505011150.1679000350 NPI Information
Basic NPI information of A CLEAN MIND LLC (NPI 1679000350) is provided below.
| Name | A CLEAN MIND LLC |
|---|---|
| National Provider Id (NPI) | 1679000350 |
| Entity Type | Organization |
| Practice Address | 1610 E WRIGHT ST,
PENSACOLA, FL, United States |
| Practice Telephone | 850-501-1150 |
| Practice Fax Number | |
| Mailing Address | 605 E GOVERNMENT ST ,
#C
PENSACOLA, FL, United States |
| Mailing Telephone | 850-501-1150 |
| Mailing Fax Number | |
| Enumeration Date | 12-May-2017 |
| Last Updated Date | 12-May-2017 |
A CLEAN MIND LLC (NPI 1679000350) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Social Worker, Clinical | SW11608 | FL |
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
A CLEAN MIND LLC (NPI 1679000350) Office Location
Office location of A CLEAN MIND LLC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1275982662 | LEIGH ANN (COUEY) HOLDERFIELD | Pharmacist | 312 E NINE MILE RD,
PENSACOLA, FL, United States |
07-Jun-2016 |
| 1306115183 | 10040 HILLVIEW ROAD OPERATIONS LLC | Skilled Nursing Facility | 10040 HILLVIEW RD,
PENSACOLA, FL, United States |
22-Dec-2011 |
| 1003528258 | 12TH AVENUE HEALTHCARE, INC | Nurse Practitioner, Family | 9735 N PALAFOX ST,
PENSACOLA, FL, United States |
20-Dec-2022 |
| 1790370526 | 1LIFE COUNSELING & WELLNESS | Social Worker, Clinical | PO BOX 12525,
PENSACOLA, FL, United States |
03-Mar-2021 |
| 1114285715 | 29 DENTAL | Dentist, General Practice | 2850 MONROE ST,
PENSACOLA, FL, United States |
02-May-2012 |
| 1154495505 | A & E PHARMACY, INC. | Pharmacy, Community/Retail Pharmacy | 923 N NEW WARRINGTON RD,
PENSACOLA, FL, United States |
19-Nov-2006 |
| 1851731699 | A BETTER CHOICE, SUPPORTS & SERVICES, INC | 1302 DUNMIRE ST,
PENSACOLA, FL, United States |
25-Jun-2013 | |
| 1679000350 | A CLEAN MIND LLC | Social Worker, Clinical | 1610 E WRIGHT ST,
PENSACOLA, FL, United States |
12-May-2017 |
| 1346543501 | A HEALING PLACE | Counselor, Mental Health | 609 W CHASE ST,
PENSACOLA, FL, United States |
09-Dec-2010 |
| 1558868513 | A HOME JUST FOR YOU, INC | Clinic/Center, Adult Day Care | 7138 GLENDORA ST,
PENSACOLA, FL, United States |
06-Apr-2018 |
| 1043956105 | A LITTLE THERAPY, PLLC | Marriage & Family Therapist | 7901 4TH ST N STE 4000,
ST PETERSBURG, FL, United States |
10-May-2022 |
| 1487220901 | A RAY OF HOPE HOMEMAKER AND COMPANION SERVICES LLC | Home Health | 7333 PINE FOREST RD LOT 24,
PENSACOLA, FL, United States |
03-Jun-2021 |
| 1588117055 | A STEP AHEAD PEDORTHICS & ORTHOTICS LLC | Prosthetic/Orthotic Supplier | 2401 EXECUTIVE PLAZA RD,
SUITE 1-A PENSACOLA, FL, United States |
01-Aug-2016 |
| 1295368645 | A TRUSTED NURSE PRACTITIONER | Nurse Practitioner, Family | 1101 GULF BREEZE PKWY STE 514,
GULF BREEZE, FL, United States |
13-Feb-2020 |
| 1013248806 | A WIG BOUTIQUE ETC. | Durable Medical Equipment & Medical Supplies | 6707 PLANTATION RD,
SUITE C3 PENSACOLA, FL, United States |
19-Jan-2010 |
| 1609376623 | A&J MEDICAL TRANSPORTATION COMPANY | Non-emergency Medical Transport (VAN) | 5410 SUN VALLEY DR,
PENSACOLA, FL, United States |
16-Feb-2018 |
| 1396096244 | MARY ANNE AANESTAD | Nurse Practitioner, Family | 20 N TARRAGONA ST,
PENSACOLA, FL, United States |
01-Oct-2012 |
| 1518107242 | AARON B STEIN MD PLLC | Pain Medicine, Pain Medicine | PO BOX 2266,
PENSACOLA, FL, United States |
20-Feb-2009 |
| 1386892289 | CATHY LEE AARON | Physician Assistant | 5147 N 9TH AVE STE 311,
PENSACOLA, FL, United States |
04-Sep-2008 |
| 1710374699 | CHRISTINE ABAD | Counselor, Mental Health | 3109 SEAFARERS WAY,
PENSACOLA, FL, United States |
18-Apr-2015 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1679000350?1679000350 is the NPI number of A CLEAN MIND LLC.
Where is A CLEAN MIND LLC located?A CLEAN MIND LLC is located at 1610 E WRIGHT ST, PENSACOLA, FL.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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