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Organization
MINDFUL THERAPEUTICS, LLC
Active
Organization
MINDFUL THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MONIQUE TURNER WOOLFORD LCPC (OWNER)
(410) 997-5100
Entity
Organization
Contact information
Practice address
5310 OLD COURT RD STE 204, RANDALLSTOWN, MD 21133-6201
(410) 977-5100
Mailing address
4104 KIWI CT, RANDALLSTOWN, MD 21133-4076
(410) 977-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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