Mindful Matters Llc | |
528 Pine St Ste B Little Chute WI 54140-1812 | |
(920) 209-0604 | |
(920) 415-6090 |
Full Name | Mindful Matters Llc |
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Speciality | Counselor - Mental Health |
Location | 528 Pine St Ste B, Little Chute, Wisconsin |
Authorized Official Name and Position | Amy Lynn Vanden Heuvel (OWNER/THERAPIST) |
Authorized Official Contact | 9202090604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mindful Matters Llc 528 Pine St Ste B Little Chute WI 54140-1812 Ph: (920) 209-0604 | Mindful Matters Llc 528 Pine St Ste B Little Chute WI 54140-1812 Ph: (920) 209-0604 |
NPI Number | 1124480744 |
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Provider Enumeration Date | 03/23/2016 |
Last Update Date | 03/23/2016 |
Identifier | Type | State | Issuer |
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1124480744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4647-125 (Wisconsin) | Primary |