# INSTITUTE OF MINDFUL THERAPY

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

## Provider details

- **NPI number:** 1255871091
- **Authorized official:** SORRENTA STUART LMFT (PRESIDENT)
- **Authorized official phone:** (925) 963-5353

## Contact information

- **Practice address:** 1250 PINE ST STE 100, WALNUT CREEK, CA 94596-3633
- **Practice address phone:** (925) 963-5353
- **Mailing address:** 1250 PINE ST STE 100, WALNUT CREEK, CA 94596-3633
- **Mailing address phone:** (925) 963-5353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 47901 | CA | Yes |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 02/27/2017