# MINDFUL RESTORATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104442268
- **Authorized official:** CORTNEY L AMUNDSON MA, LPCC, BCN (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (952) 992-9646

## Contact information

- **Practice address:** 7400 METRO BLVD STE 335, EDINA, MN 55439-2356
- **Practice address phone:** (952) 992-9646
- **Practice address fax:** (612) 465-3032
- **Mailing address:** 7400 METRO BLVD STE 335, EDINA, MN 55439-2356
- **Mailing address phone:** (952) 992-9646
- **Mailing address fax:** (612) 465-3032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2020
- **Last updated:** 06/24/2020