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Organization
MINDFUL PRACTICE CO. LLC
Active
Organization
MINDFUL PRACTICE CO. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN WAGNER LISW-S (OWNER/MENTAL HEALTH THERAPIST)
(614) 285-4827
Entity
Organization
Contact information
Practice address
701 E REAGAN PKWY, MEDINA, OH 44256-1238
(614) 285-4827
Mailing address
PO BOX 100, MEDINA, OH 44258-0100
(614) 285-4827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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