Mind to Mindful
NPI #1063979839 in Granite Bay, California
Provider Information
- NPI Number
- 1063979839
- Entity Type
- Organization
- Organization Name
- Mind to Mindful
- Primary Specialty
- Psychologist - Group Psychotherapy
- Enumeration Date
- Feb 27, 2019
- Last Updated
- Mar 4, 2019
Practice Location
- Address
- 4190 DOUGLAS BLVD STE 300
- City
- Granite Bay
- State
- California
- ZIP Code
- 95746-5918
- Phone
- (517) 759-5551
Authorized Official
- Name
- DOUGLAS W WOOD
- Title
- OPERATIONS DIRECTOR
- Phone
- (517) 759-5551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Group Psychotherapy — Group Psychotherapy |
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