# MINDFUL MOMENTOS, MARRIAGE AND FAMILY THERAPY, PLLC

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

## Provider details

- **NPI number:** 1568123529
- **Authorized official:** MR. JOHN ANTHONY JAUREGUI JR. LMFT (DIRECTOR)
- **Authorized official phone:** (917) 626-3871

## Contact information

- **Practice address:** 280 MADISON AVE RM 1110, NEW YORK, NY 10016-0815
- **Practice address phone:** (917) 626-3871
- **Practice address fax:** (718) 799-1457
- **Mailing address:** 280 MADISON AVE RM 1110, NEW YORK, NY 10016-0815
- **Mailing address phone:** (917) 626-3871
- **Mailing address fax:** (718) 799-1457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2022
- **Last updated:** 01/03/2022