| Integrative Mindfulness Llc | |
|
3608 44th Ave S Minneapolis MN 55406-2906 | |
| (612) 872-9231 | |
| (612) 722-3306 |
| Full Name | Integrative Mindfulness Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 3608 44th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Katheleen Avila (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6128729231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Mindfulness Llc 3608 44th Ave S Minneapolis MN 55406-2906 Ph: (612) 872-9231 | Integrative Mindfulness Llc 3608 44th Ave S Minneapolis MN 55406-2906 Ph: (612) 872-9231 |
| NPI Number | 1457630634 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 08/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457630634 | NPI | - | NPPES |
| 1255305306 | Other | MN | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP 0499 (Minnesota) | Primary |
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