Mindful Therapy Group, P.c.

NPI #1013707959 in Columbus, Ohio

Provider Information

NPI Number: 1013707959
Entity Type: Organization
Organization Name: Mindful Therapy Group, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: MINDFUL THERAPY GROUP, P.C.
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 12, 2025
Last Updated: May 12, 2025

Practice Location

Address: 20 E BROAD ST STE 200
City: Columbus
State: Ohio
ZIP Code: 43215-0300
Phone: (425) 640-7009

Authorized Official

Name: DEREK CRAIN, LICSW
Title: CEO
Phone: (425) 640-7009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X
Marriage & Family Therapist	106H00000X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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