| Your Mindful Path Counseling And Yoga, Llc | |
|
4562 Lawrenceville Hwy Nw Suite 123 Lilburn GA 30047-3641 | |
| (678) 856-5079 | |
| (770) 982-2818 |
| Full Name | Your Mindful Path Counseling And Yoga, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4562 Lawrenceville Hwy Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Jennifer Del Castillo (OWNER/COUNSELOR) |
| Authorized Official Contact | 6788565079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Mindful Path Counseling And Yoga, Llc 4375 Scotland Ct Snellville GA 30039-8454 Ph: (678) 856-5079 | Your Mindful Path Counseling And Yoga, Llc 4562 Lawrenceville Hwy Nw Suite 123 Lilburn GA 30047-3641 Ph: (678) 856-5079 |
| NPI Number | 1750718409 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750718409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC007365 (Georgia) | Primary |
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