| Mindfully Restored, Llc | |
|
7835 74th St Fl 2 Glendale NY 11385-7427 | |
| (929) 277-7184 | |
| Not Available |
| Full Name | Mindfully Restored, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7835 74th St Fl 2, Glendale, New York |
| Authorized Official Name and Position | Chanelle Spencer (OWNER) |
| Authorized Official Contact | 9292777184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfully Restored, Llc 751 Linden Blvd Ste A Pmb2051 Brooklyn NY 11203 Ph: () - | Mindfully Restored, Llc 7835 74th St Fl 2 Glendale NY 11385-7427 Ph: (929) 277-7184 |
| NPI Number | 1013653237 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013653237 | NPI | - | NPPES |
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