Mindful Minotaur LLC

NPI #1356002612 in Norman, Oklahoma

Provider Information

NPI Number: 1356002612
Entity Type: Organization
Organization Name: Mindful Minotaur LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 7, 2022
Last Updated: Jan 7, 2022

Practice Location

Address: 2500 MCGEE DR STE 104
City: Norman
State: Oklahoma
ZIP Code: 73072-6705
Phone: (405) 276-4747

Authorized Official

Name: CASSANDRA BOURNIVAL, MSBS, LMFT
Title: OWNER
Phone: (405) 276-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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