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Mindful Healing Therapy And Wellness, LLC

Counselor, Mental Health in Tampa, FL. Organization (NPI-2).

NPI number1366968554
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1366968554
Entity type
Organization (NPI-2)
Legal business name
Mindful Healing Therapy And Wellness, LLC
Organization subpart
No
Enumeration date
Aug 18, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthSW14306FLYes
261QD1600X Clinic/Center, Developmental DisabilitiesSW14306FL
261QM0850X Clinic/Center, Adult Mental HealthSW14306FL
261QM0855X Clinic/Center, Adolescent and Children Mental HealthSW14306FL

Practice location

400 E Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33603-3866

Phone 813-236-4673 · Fax 813-236-4689

Mailing address

400 E Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33603-3866

Phone 813-236-4673 · Fax 813-236-4689

Authorized official

Jessica R Greaves
Owner, Psychotherapist
8135056867

Is something wrong?

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