| Mindful Mountain Therapy Pllc | |
|
21907 64th Ave W Ste 200 Mountlake Terrace WA 98043-6200 | |
| (888) 646-3686 | |
| (425) 429-2417 |
| Full Name | Mindful Mountain Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21907 64th Ave W Ste 200, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Matthew Michael Nordin (CEO/OWNER) |
| Authorized Official Contact | 8886463686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Mountain Therapy Pllc 1752 Nw Market St # 4340 Seattle WA 98107-5264 Ph: (888) 646-3686 | Mindful Mountain Therapy Pllc 21907 64th Ave W Ste 200 Mountlake Terrace WA 98043-6200 Ph: (888) 646-3686 |
| NPI Number | 1821788514 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821788514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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