| Mindful Matters Llc | |
|
W2274 Out Of Town Ln Kaukauna WI 54130-9474 | |
| (920) 209-0604 | |
| Not Available |
| Full Name | Mindful Matters Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | W2274 Out Of Town Ln, Kaukauna, Wisconsin |
| Authorized Official Name and Position | Amy Lynn Vanden Heuvel (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9202090604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Matters Llc W2274 Out Of Town Ln Kaukauna WI 54130-9474 Ph: (920) 209-0604 | Mindful Matters Llc W2274 Out Of Town Ln Kaukauna WI 54130-9474 Ph: (920) 209-0604 |
| NPI Number | 1407249303 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407249303 | NPI | - | NPPES |
| 1174831473 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4647-125 (Wisconsin) | Primary |
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