| Mindful Living Psychological Services, Pllc | |
|
22 Northridge St Patchogue NY 11772-2822 | |
| (631) 517-3251 | |
| Not Available |
| Full Name | Mindful Living Psychological Services, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 22 Northridge St, Patchogue, New York |
| Authorized Official Name and Position | Johanna Sangemino (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6315173251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Living Psychological Services, Pllc 380 E Sunrise Hwy # 1028 Patchogue NY 11772-1906 Ph: () - | Mindful Living Psychological Services, Pllc 22 Northridge St Patchogue NY 11772-2822 Ph: (631) 517-3251 |
| NPI Number | 1144951393 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144951393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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