| Mindful Healing | |
|
2102 S Ridgewood Ave Ste 17 Edgewater FL 32141-4230 | |
| (386) 402-8346 | |
| Not Available |
| Full Name | Mindful Healing |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2102 S Ridgewood Ave Ste 17, Edgewater, Florida |
| Authorized Official Name and Position | Katy Redel (CLINICIAN/ OWNER) |
| Authorized Official Contact | 3864028346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Healing 2102 S Ridgewood Ave Ste 17 Edgewater FL 32141-4230 Ph: (386) 402-8346 | Mindful Healing 2102 S Ridgewood Ave Ste 17 Edgewater FL 32141-4230 Ph: (386) 402-8346 |
| NPI Number | 1932862513 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932862513 | NPI | - | NPPES |
| 021586900 | Medicaid | FL | |
| 13995716 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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