| NPI | 1245931666 |
|---|---|
| Other Name | MYNDRAVYN CREATIVE COUNSELING SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | SHAMEKA SEALSADJEI Revenue Cycle Manager 360-998-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-07-06 |