Mindful Therapy Practice | |
550 W Vista Way Ste 107 Vista CA 92083-5707 | |
(626) 893-0480 | |
Not Available |
Full Name | Mindful Therapy Practice |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 550 W Vista Way Ste 107, Vista, California |
Authorized Official Name and Position | Melissa Ivonne Barsotti (CEO) |
Authorized Official Contact | 6268930480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mindful Therapy Practice 550 W Vista Way Ste 107 Vista CA 92083-5707 Ph: (626) 893-0480 | Mindful Therapy Practice 550 W Vista Way Ste 107 Vista CA 92083-5707 Ph: (626) 893-0480 |
NPI Number | 1629570304 |
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Provider Enumeration Date | 03/08/2018 |
Last Update Date | 03/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629570304 | NPI | - | NPPES |
4115654 | Other | CA | ARTICLES OF INCORPORATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 64017 (California) | Primary |
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