| Mindful Living, A Marriage And Family Therapy Corporation | |
|
200 Green St Ste 200 San Francisco CA 94111-1356 | |
| (415) 890-3791 | |
| Not Available |
| Full Name | Mindful Living, A Marriage And Family Therapy Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Green St Ste 200, San Francisco, California |
| Authorized Official Name and Position | Laurie Phuong Ertley (PRESIDENT) |
| Authorized Official Contact | 4158903791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Living, A Marriage And Family Therapy Corporation 200 Green St Ste 200 San Francisco CA 94111-1356 Ph: (415) 890-3791 | Mindful Living, A Marriage And Family Therapy Corporation 200 Green St Ste 200 San Francisco CA 94111-1356 Ph: (415) 890-3791 |
| NPI Number | 1073137295 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073137295 | NPI | - | NPPES |
| 85042 | Other | CA | BOARD BEHAVIORAL SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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