| Mindful Life Therapy | |
|
15434 E Jojoba Ln Fountain Hills AZ 85268-4148 | |
| (480) 225-2630 | |
| (480) 816-8868 |
| Full Name | Mindful Life Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15434 E Jojoba Ln, Fountain Hills, Arizona |
| Authorized Official Name and Position | Susan Adams (OWNER) |
| Authorized Official Contact | 4802252630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Life Therapy 15434 E Jojoba Ln Fountain Hills AZ 85268-4148 Ph: (480) 225-2630 | Mindful Life Therapy 15434 E Jojoba Ln Fountain Hills AZ 85268-4148 Ph: (480) 225-2630 |
| NPI Number | 1568628212 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 02/18/2023 |
| Certification Date | 02/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568628212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-11766 (Arizona) | Primary |
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