Mindbridge Group, LLC

NPI #1497229421 in Tobyhanna, Pennsylvania

Provider Information

NPI Number: 1497229421
Entity Type: Organization
Organization Name: Mindbridge Group, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 12, 2019
Last Updated: Jan 12, 2019

Practice Location

Address: 5520 MUNICIPAL DR BSMT
City: Tobyhanna
State: Pennsylvania
ZIP Code: 18466-7714
Phone: (917) 576-0305

Authorized Official

Name: MICHELLE MCEACHIN, PHD
Title: EXECUTIVE DIRECTOR
Phone: (917) 576-0305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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