Mindful Therapy Lcsw, PLLC
Social Worker, Clinical in Commack, NY. Organization (NPI-2).
NPI number1275014136
StatusActive
Last updated in NPPESAug 28, 2018
Details
- NPI
- 1275014136
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindful Therapy Lcsw, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2018
- Last updated
- Aug 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R058833-1 | NY | Yes |
Practice location
2171 Jericho TurnpikeSuite 335
Commack, NY 11725
Phone 631-486-7788
Mailing address
5 Priory CtMelville, NY 11747-3914
Phone 917-596-1040
Authorized official
Janis Hoffman
Owner
9175961040
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