Mindful Performance Therapy, Pllc
NPI #1851972814 in Traverse City, Michigan
Provider Information
- NPI Number
- 1851972814
- Entity Type
- Organization
- Organization Name
- Mindful Performance Therapy, Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 20, 2021
- Last Updated
- Jan 7, 2022
Practice Location
- Address
- 1414 TRADE CENTER DR STE 26-E
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49696-8944
- Phone
- (989) 370-0703
Authorized Official
- Name
- DIANA VOLANT, MA, LLP
- Title
- OWNER
- Phone
- (989) 370-0703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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