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Organization
MELANIE'S MINDFUL PRACTICE LMSW PC
Active
Organization
MELANIE'S MINDFUL PRACTICE LMSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE MARIE LUGO LCSW (OWNER)
(315) 303-2103
Entity
Organization
Contact information
Practice address
107 RIVER PARK DR, LIVERPOOL, NY 13090-2841
(315) 303-2103
Mailing address
107 RIVER PARK DR, LIVERPOOL, NY 13090-2841
(315) 303-2103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/27/2025
Last updated
06/01/2026
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