# OPEN-MINDED MARRIAGE & FAMILY THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Open-Minded MFT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588411045
- **Authorized official:** ALEXA A NIEVES LMFT (OWNER)
- **Authorized official phone:** (631) 372-9378

## Contact information

- **Practice address:** 2100 MIDDLE COUNTRY RD STE 211B, CENTEREACH, NY 11720-3553
- **Practice address phone:** (631) 468-8587
- **Mailing address:** 842 GOLF LN, MEDFORD, NY 11763-1203
- **Mailing address phone:** (631) 468-8587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 104100000X | Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2024
- **Last updated:** 10/17/2026