| Mindfully Creative Therapy Services, Llc | |
|
23349 Massasoit Rd Maple Hill KS 66507-8554 | |
| (785) 409-8607 | |
| Not Available |
| Full Name | Mindfully Creative Therapy Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 23349 Massasoit Rd, Maple Hill, Kansas |
| Authorized Official Name and Position | Marley Dinwiddie (OWNER) |
| Authorized Official Contact | 7854098607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfully Creative Therapy Services, Llc 23349 Massasoit Rd Maple Hill KS 66507-8554 Ph: (785) 409-8607 | Mindfully Creative Therapy Services, Llc 23349 Massasoit Rd Maple Hill KS 66507-8554 Ph: (785) 409-8607 |
| NPI Number | 1568137958 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568137958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |