Mindful Clinical Services, LLC
Social Worker, Clinical in Los Angeles, CA. Organization (NPI-2).
NPI number1174265383
StatusActive
Last updated in NPPESApr 8, 2022
Details
- NPI
- 1174265383
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindful Clinical Services, LLC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2022
- Certification date
- Apr 7, 2022
- Last updated
- Apr 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
1923 1/2 Westwood Blvd, Suite 4Los Angeles, CA 90025
Phone 747-228-2621
Mailing address
1923 1/2 Westwood Blvd, Suite 4Los Angeles, CA 90025
Phone 747-228-2621
Authorized official
Samantha Wright Wakach
Co-Founder, Mindful Clinical Servic
7472282621
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