| Purposely Mindful, LLC | |
|
815 Vanguard St Lexington SC 29073-9791 | |
| (803) 216-5305 | |
| Not Available |
| Full Name | Purposely Mindful, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 815 Vanguard St, Lexington, South Carolina |
| Authorized Official Name and Position | Samantha Latoya Hodges (THERAPIST, LISW) |
| Authorized Official Contact | 8032165305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposely Mindful, LLC 815 Vanguard St Lexington SC 29073-9791 Ph: (803) 216-5305 | Purposely Mindful, LLC 815 Vanguard St Lexington SC 29073-9791 Ph: (803) 216-5305 |
| NPI Number | 1336874825 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336874825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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