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Organization
MINDFUL LIFE PRACTICE, LLC
Active
Organization
MINDFUL LIFE PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SMITH LMSW (PARTNER)
(231) 486-0805
Entity
Organization
Contact information
Practice address
221 GARLAND ST, TRAVERSE CITY, MI 49684-2372
(231) 486-0805
Mailing address
221 GARLAND ST, TRAVERSE CITY, MI 49684-2372
(231) 486-0805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401009566
MI
1041C0700X
Clinical Social Worker
Primary
6801092522
MI
1041C0700X
Clinical Social Worker
6801093556
MI
Other
Enumeration date
10/07/2015
Last updated
01/17/2025
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