| Mindful Living Center - Llc | |
|
399 Boylston St # 900c Boston MA 02116-3305 | |
| (617) 804-5852 | |
| Not Available |
| Full Name | Mindful Living Center - Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 399 Boylston St # 900c, Boston, Massachusetts |
| Authorized Official Name and Position | Tsu-yin Chang (OWNER) |
| Authorized Official Contact | 6178045852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Living Center - Llc 399 Boylston St # 900c Boston MA 02116-3305 Ph: (617) 804-5852 | Mindful Living Center - Llc 399 Boylston St # 900c Boston MA 02116-3305 Ph: (617) 804-5852 |
| NPI Number | 1114417961 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 05/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114417961 | NPI | - | NPPES |
| 1457550725 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 121113 (Massachusetts) | Primary |
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