| A Mindful Practice | |
|
100 N Barranca St Ste 255a West Covina CA 91791-1637 | |
| (626) 475-7234 | |
| Not Available |
| Full Name | A Mindful Practice |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 100 N Barranca St Ste 255a, West Covina, California |
| Authorized Official Name and Position | Anabel Rodriguez (FOUNDER/CEO) |
| Authorized Official Contact | 6264757234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Mindful Practice 1830 E Linda Vista St West Covina CA 91791-3508 Ph: (626) 475-7234 | A Mindful Practice 100 N Barranca St Ste 255a West Covina CA 91791-1637 Ph: (626) 475-7234 |
| NPI Number | 1831952795 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 05/04/2024 |
| Certification Date | 05/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831952795 | NPI | - | NPPES |
| 1942492202 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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