NPI | 1487324463 |
---|---|
Former Legal Business Name | THE MINDFUL LEMON, LLC |
Entity Type | Organization |
Authorized Contact | KASEY BOGOJE CEO 855-435-3801 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
1041C0700X Social Worker, Clinical | |
163WP0808X Registered Nurse, Psych/Mental Health | |
305R00000X Preferred Provider Organization | |
101YP2500X Counselor, Professional | |
103TC1900X Psychologist, Counseling | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-09-20 |
Last Update Date | 2023-11-21 |