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Organization
MINDFUL INTENTIONS LCSW PSYCHOTHERAPY PLLC
Active
Organization
MINDFUL INTENTIONS LCSW PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY BUSH LCSW (OWNER)
(267) 225-8763
Entity
Organization
Contact information
Practice address
7211 AUSTIN ST STE 102, FOREST HILLS, NY 11375-5354
(267) 225-8763
Mailing address
7211 AUSTIN ST STE 102, FOREST HILLS, NY 11375-5354
(631) 871-3675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
08/06/2025
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