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Organization
MINDFUL SELF THERAPY LCSW, PLLC
Active
Organization
MINDFUL SELF THERAPY LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SISTI LCSW (OWNER)
(315) 761-8388
Entity
Organization
Contact information
Practice address
1868 BLEECKER ST APT 1L, FLUSHING, NY 11385-1347
(315) 761-8388
Mailing address
1868 BLEECKER ST APT 1L, FLUSHING, NY 11385-1347
(315) 761-8388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
10/08/2025
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