# MINDLOFT FAMILY THERAPY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mindloft, Mindloft Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184459018
- **Authorized official:** DR. DALE E WERNER PHD (ADMINISTRATOR)
- **Authorized official phone:** (949) 569-9226

## Contact information

- **Practice address:** 100 W CHAPMAN AVE STE 200, ORANGE, CA 92866-1418
- **Practice address phone:** (855) 750-5010
- **Mailing address:** PO BOX 3340, TUSTIN, CA 92781-3340
- **Mailing address phone:** (949) 569-9226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2024
- **Last updated:** 01/06/2026
