| Living Well Mindfully, Inc | |
|
358 Veterans Memorial Hwy Ste 12 Commack NY 11725-4326 | |
| (631) 268-4148 | |
| Not Available |
| Full Name | Living Well Mindfully, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 358 Veterans Memorial Hwy Ste 12, Commack, New York |
| Authorized Official Name and Position | Melissa M Schroeder (OWNER) |
| Authorized Official Contact | 6312684148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Mindfully, Inc Po Box 211 Islip NY 11751-0211 Ph: () - | Living Well Mindfully, Inc 358 Veterans Memorial Hwy Ste 12 Commack NY 11725-4326 Ph: (631) 268-4148 |
| NPI Number | 1912590977 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912590977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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