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Organization

FIT MIND WELLNESS CENTER, LLC

Active
Other names
Fit Mind
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER A REGAN LICSW (OWNER/PSYCHOTHERAPIST)
(681) 378-2134
Entity
Organization

Contact information

Practice address
1017 6TH AVE, HUNTINGTON, WV 25701-2348
(681) 378-2134
Mailing address
1017 6TH AVE STE 11, HUNTINGTON, WV 25701-2348
(681) 378-2134

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
DP00945023
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568808137
NPI
Enumeration date
07/29/2018
Last updated
12/02/2019
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