| Mindful Living Center California Nw Llc | |
|
15 3rd St Santa Rosa CA 95401-6204 | |
| (707) 358-2270 | |
| Not Available |
| Full Name | Mindful Living Center California Nw Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 15 3rd St, Santa Rosa, California |
| Authorized Official Name and Position | Erik Tolonen (VP) |
| Authorized Official Contact | 2135107904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Living Center California Nw Llc 900 Pacific Coast Hwy Apt 105 Huntington Beach CA 92648-4859 Ph: (707) 358-2270 | Mindful Living Center California Nw Llc 15 3rd St Santa Rosa CA 95401-6204 Ph: (707) 358-2270 |
| NPI Number | 1073445334 |
|---|---|
| Provider Enumeration Date | 06/01/2026 |
| Last Update Date | 06/01/2026 |
| Certification Date | 06/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073445334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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