| The Mindful Place Llc | |
|
100 Duffy Ave Ste 510 Hicksville NY 11801-3636 | |
| (631) 606-6068 | |
| Not Available |
| Full Name | The Mindful Place Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 Duffy Ave Ste 510, Hicksville, New York |
| Authorized Official Name and Position | James D'aconti (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 3160660686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mindful Place Llc 5036 Jericho Tpke Ste 300 Commack NY 11725-2812 Ph: (631) 606-6068 | The Mindful Place Llc 100 Duffy Ave Ste 510 Hicksville NY 11801-3636 Ph: (631) 606-6068 |
| NPI Number | 1801458690 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801458690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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