| The Mindful Goldfish Llc | |
|
777 E William St Ste 108 Carson City NV 89701-4057 | |
| (775) 400-2660 | |
| Not Available |
| Full Name | The Mindful Goldfish Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 777 E William St Ste 108, Carson City, Nevada |
| Authorized Official Name and Position | Shannon Lee Kossick (OWNER/MANAGER) |
| Authorized Official Contact | 9167519899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mindful Goldfish Llc 1111 S Roop St Unit 241 Carson City NV 89702-7110 Ph: (775) 400-2660 | The Mindful Goldfish Llc 777 E William St Ste 108 Carson City NV 89701-4057 Ph: (775) 400-2660 |
| NPI Number | 1780560482 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Certification Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780560482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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