| Mindful Clinical Services, Llc | |
|
1923 1/2 Westwood Blvd, Suite 4 Los Angeles CA 90025 | |
| (747) 228-2621 | |
| Not Available |
| Full Name | Mindful Clinical Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1923 1/2 Westwood Blvd, Suite 4, Los Angeles, California |
| Authorized Official Name and Position | Samantha Wright Wakach (CO-FOUNDER, MINDFUL CLINICAL SERVIC) |
| Authorized Official Contact | 7472282621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Clinical Services, Llc 1923 1/2 Westwood Blvd, Suite 4 Los Angeles CA 90025 Ph: (747) 228-2621 | Mindful Clinical Services, Llc 1923 1/2 Westwood Blvd, Suite 4 Los Angeles CA 90025 Ph: (747) 228-2621 |
| NPI Number | 1174265383 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174265383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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