| NPI | 1780250035 |
|---|---|
| Former Legal Business Name | MINDY KUE LLC |
| Entity Type | Organization |
| Authorized Contact | MINDY KUE Owner 920-977-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-08-12 |