| NPI | 1780142679 |
|---|---|
| Former Legal Business Name | MINDFUL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SALLY J MCVEY Therapist/Owner 308-293-7892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-03-09 |