| Mindful Intentions Lcsw Psychotherapy Pllc | |
|
1547 Walt Whitman Rd Melville NY 11747-3015 | |
| (267) 225-8763 | |
| Not Available |
| Full Name | Mindful Intentions Lcsw Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1547 Walt Whitman Rd, Melville, New York |
| Authorized Official Name and Position | Christy Bush (OWNER) |
| Authorized Official Contact | 2672258763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Intentions Lcsw Psychotherapy Pllc 2 Shelby Ct East Northport NY 11731-4930 Ph: (631) 871-3675 | Mindful Intentions Lcsw Psychotherapy Pllc 1547 Walt Whitman Rd Melville NY 11747-3015 Ph: (267) 225-8763 |
| NPI Number | 1063278471 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063278471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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