| Path T0 Mindful Balanced Mental Wellness, Inc | |
|
10315 Woodley Ave Ste 123 Granada Hills CA 91344-6953 | |
| (818) 488-1105 | |
| Not Available |
| Full Name | Path T0 Mindful Balanced Mental Wellness, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10315 Woodley Ave Ste 123, Granada Hills, California |
| Authorized Official Name and Position | Graciela Gonzalez (BEHAVIORAL HEALTH THERAPIST) |
| Authorized Official Contact | 8184262612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path T0 Mindful Balanced Mental Wellness, Inc 4051 Doneva Rd Moorpark CA 93021-2910 Ph: (818) 426-2612 | Path T0 Mindful Balanced Mental Wellness, Inc 10315 Woodley Ave Ste 123 Granada Hills CA 91344-6953 Ph: (818) 488-1105 |
| NPI Number | 1720979214 |
|---|---|
| Provider Enumeration Date | 07/11/2025 |
| Last Update Date | 07/11/2025 |
| Certification Date | 06/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720979214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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