| Mindfulife Therapy | |
|
690 Ne 3rd Ave Ste 103 Crystal River FL 34428-3541 | |
| (352) 477-1187 | |
| Not Available |
| Full Name | Mindfulife Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 690 Ne 3rd Ave Ste 103, Crystal River, Florida |
| Authorized Official Name and Position | Jacinda Laundree (OWNER/OPERATOR) |
| Authorized Official Contact | 5185787744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfulife Therapy 25 N Country Club Dr Crystal River FL 34429-5363 Ph: (518) 578-7744 | Mindfulife Therapy 690 Ne 3rd Ave Ste 103 Crystal River FL 34428-3541 Ph: (352) 477-1187 |
| NPI Number | 1841996329 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Medicare PECOS PAC ID | 2567821911 |
|---|---|
| Medicare Enrollment ID | O20230704000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841996329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacinda Lynn Laundree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740556018 PECOS PAC ID: 7214170919 Enrollment ID: I20170508000888 |
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