| Mindful Living Center Ny Llc | |
|
3670 S Benzing Rd Orchard Park NY 14127-1737 | |
| (949) 409-5660 | |
| Not Available |
| Full Name | Mindful Living Center Ny Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3670 S Benzing Rd, Orchard Park, New York |
| Authorized Official Name and Position | Erik Tolonen (VP) |
| Authorized Official Contact | 3235809477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Living Center Ny Llc 900 Pacific Coast Hwy Apt 105 Huntington Beach CA 92648-4859 Ph: (323) 580-9477 | Mindful Living Center Ny Llc 3670 S Benzing Rd Orchard Park NY 14127-1737 Ph: (949) 409-5660 |
| NPI Number | 1467115766 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467115766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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