| NPI | 1649092990 |
|---|---|
| Doing Business As | MINDFUL THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | NICOLE PAULY Provider Enrollment Manager 425-640-7009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |