Mindful Tides Therapy Llc | |
2400 Ansys Dr Ste 102 Canonsburg PA 15317 | |
(412) 737-0990 | |
(412) 533-2696 |
Full Name | Mindful Tides Therapy Llc |
---|---|
Speciality | Counselor - Professional |
Location | 2400 Ansys Dr, Canonsburg, Pennsylvania |
Authorized Official Name and Position | Kindall Davis (MANAGING PARTNER) |
Authorized Official Contact | 7246012421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mindful Tides Therapy Llc 2400 Ansys Dr Ste 102 Canonsburg PA 15317-0403 Ph: (412) 737-0990 | Mindful Tides Therapy Llc 2400 Ansys Dr Ste 102 Canonsburg PA 15317 Ph: (412) 737-0990 |
NPI Number | 1750086500 |
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Provider Enumeration Date | 04/03/2023 |
Last Update Date | 01/31/2024 |
Certification Date | 01/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750086500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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