| Mind to Mindful | |
|
4190 Douglas Blvd Ste 300 Granite Bay CA 95746-5918 | |
| (517) 759-5551 | |
| Not Available |
| Full Name | Mind to Mindful |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 4190 Douglas Blvd Ste 300, Granite Bay, California |
| Authorized Official Name and Position | Douglas W Wood (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5177595551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind to Mindful Po Box 242 Tecumseh MI 49286-0242 Ph: (517) 759-5551 | Mind to Mindful 4190 Douglas Blvd Ste 300 Granite Bay CA 95746-5918 Ph: (517) 759-5551 |
| NPI Number | 1063979839 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063979839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (NU) | Primary |
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