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Organization
MIND AND THRIVE WELLNESS, LLC
Active
Organization
MIND AND THRIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE PATTERSON LCSW (OWNER OF PRACTICE)
(570) 218-8596
Entity
Organization
Contact information
Practice address
620 MILL STREET, SUITE 203, DANVILLE, PA 17821
(570) 218-8596
Mailing address
1258 VINE STREET, DANVILLE, PA 17821
(570) 218-8596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103734872-0005
—
PA
Enumeration date
08/29/2022
Last updated
08/30/2022
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