| Mindful Soul Therapeutic Solutions Llc | |
| 
					130 W Wenger Rd Englewood OH 45322-2760  | |
| (937) 626-6481 | |
| Not Available | 
| Full Name | Mindful Soul Therapeutic Solutions Llc | 
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility | 
| Location | 130 W Wenger Rd, Englewood, Ohio | 
| Authorized Official Name and Position | Iris M. Blanchard (CEO) | 
| Authorized Official Contact | 9376266481 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mindful Soul Therapeutic Solutions Llc 329 Imogene Rd Dayton OH 45405-5208 Ph: (937) 626-6481  | Mindful Soul Therapeutic Solutions Llc 130 W Wenger Rd Englewood OH 45322-2760 Ph: (937) 626-6481  | 
| NPI Number | 1255012969 | 
|---|---|
| Provider Enumeration Date | 07/26/2023 | 
| Last Update Date | 08/14/2023 | 
| Certification Date | 08/14/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255012969 | NPI | - | NPPES | 
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