Mindful Living Psychological Services, Pllc

NPI #1144951393 in Patchogue, New York

Provider Information

NPI Number: 1144951393
Entity Type: Organization
Organization Name: Mindful Living Psychological Services, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 22 NORTHRIDGE ST
City: Patchogue
State: New York
ZIP Code: 11772-2822
Phone: (631) 517-3251

Authorized Official

Name: JOHANNA SANGEMINO, PSYD
Title: CLINICAL PSYCHOLOGIST
Phone: (631) 517-3251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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