Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MINDMENDER COUNSELING SERVICES, PLLC
Active
Organization
MINDMENDER COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN MARY SERRENO LPC, LCAS (OWNER)
(704) 892-1828
Entity
Organization
Contact information
Practice address
19824 W CATAWBA AVE, SUITE G-205, CORNELIUS, NC 28031-4046
(704) 892-1828
Mailing address
PO BOX 2067, CORNELIUS, NC 28031-2067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3977
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
1132
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130WW
BLUE CROSS BLUE SHIELD OF NC
NC
01
—
2056553
CIGNA
NC
01
—
369641
UNITED BEHAVIORAL
NC
01
—
56162
MEDCOST
NC
05
—
6102349
—
NC
Enumeration date
12/05/2011
Last updated
12/05/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up