# MINDFUL SPACE

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

## Provider details

- **NPI number:** 1205619681
- **Authorized official:** KATHRYN ROSSETTO FRUTIGER LCSW (LCSW)
- **Authorized official phone:** (907) 202-0126

## Contact information

- **Practice address:** 424 BAKER AVE UNIT 5318, WHITEFISH, MT 59937-7139
- **Practice address phone:** (907) 202-0126
- **Mailing address:** PO BOX 5318, WHITEFISH, MT 59937-5318
- **Mailing address phone:** (907) 202-0126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 08/17/2023