| The Mindfulness Space Psychotherapy Services, Pllc. | |
|
717 Green Valley Rd Ste 200 Greensboro NC 27408-2156 | |
| (336) 916-1584 | |
| Not Available |
| Full Name | The Mindfulness Space Psychotherapy Services, Pllc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 717 Green Valley Rd Ste 200, Greensboro, North Carolina |
| Authorized Official Name and Position | Stefanie M. Lawson (OWNER) |
| Authorized Official Contact | 3369161584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mindfulness Space Psychotherapy Services, Pllc. 717 Green Valley Rd Ste 200 Greensboro NC 27408-2156 Ph: (336) 916-1584 | The Mindfulness Space Psychotherapy Services, Pllc. 717 Green Valley Rd Ste 200 Greensboro NC 27408-2156 Ph: (336) 916-1584 |
| NPI Number | 1114791423 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114791423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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