Mind To Mindful | |
4190 Douglas Blvd Ste 300 Granite Bay CA 95746-5918 | |
(517) 759-5551 | |
Not Available |
Full Name | Mind To Mindful |
---|---|
Speciality | Psychologist - Group Psychotherapy |
Location | 4190 Douglas Blvd Ste 300, Granite Bay, California |
Authorized Official Name and Position | Douglas W Wood (OPERATIONS DIRECTOR) |
Authorized Official Contact | 5177595551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mind To Mindful Po Box 242 Tecumseh MI 49286-0242 Ph: (517) 759-5551 | Mind To Mindful 4190 Douglas Blvd Ste 300 Granite Bay CA 95746-5918 Ph: (517) 759-5551 |
NPI Number | 1063979839 |
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Provider Enumeration Date | 02/27/2019 |
Last Update Date | 03/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063979839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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