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Organization
MINDFUL HEALING THERAPY AND WELLNESS, LLC
Active
Organization
MINDFUL HEALING THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA R GREAVES MSW, LCSW (OWNER, PSYCHOTHERAPIST)
(813) 505-6867
Entity
Organization
Contact information
Practice address
400 E DR MARTIN LUTHER KING JR BLVD STE 101, TAMPA, FL 33603-3866
(813) 236-4673
(813) 236-4689
Mailing address
400 E DR MARTIN LUTHER KING JR BLVD STE 101, TAMPA, FL 33603-3866
(813) 236-4673
(813) 236-4689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW14306
FL
261QD1600X
Developmental Disabilities Clinic/Center
SW14306
FL
261QM0850X
Adult Mental Health Clinic/Center
SW14306
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
SW14306
FL
Other
Enumeration date
08/18/2017
Last updated
07/21/2022
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