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Organization
MINDFUL LIFE IN ACTION
Active
Organization
MINDFUL LIFE IN ACTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY M COX LISW-S, LICDC (THERAPIST)
(567) 241-1543
Entity
Organization
Contact information
Practice address
380 CLINE AVE STE 3, MANSFIELD, OH 44907-1056
(567) 241-1543
Mailing address
PO BOX 290, SHELBY, OH 44875-0290
(567) 241-1543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC131026
OH
101YM0800X
Mental Health Counselor
Primary
I1200473
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906532
—
OH
Enumeration date
10/21/2013
Last updated
05/19/2022
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