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Organization
MYNDHEAL, CORP
Active
Organization
MYNDHEAL, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJITA GUPTA LCSW (CEO)
(916) 400-0633
Entity
Organization
Contact information
Practice address
20721 LEMARSH ST, CHATSWORTH, CA 91311-3266
(916) 400-0633
Mailing address
PO BOX 3663, CHATSWORTH, CA 91313-3663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/04/2019
Last updated
05/23/2022
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