| Mindful Therapy, Llc | |
|
8530 Kentford Dr Springfield VA 22152-3243 | |
| (801) 783-9604 | |
| Not Available |
| Full Name | Mindful Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8530 Kentford Dr, Springfield, Virginia |
| Authorized Official Name and Position | Laney Zundel-stenquist (CEO, OWNER) |
| Authorized Official Contact | 7038317522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Therapy, Llc 8530 Kentford Dr Springfield VA 22152-3243 Ph: (801) 783-9604 | Mindful Therapy, Llc 8530 Kentford Dr Springfield VA 22152-3243 Ph: (801) 783-9604 |
| NPI Number | 1598467110 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598467110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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