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Organization
MINDFULKID CHILD PSYCHIATRY PLLC
Active
Organization
MINDFULKID CHILD PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA DEFRANCISCI LIS MD (OWNER)
(631) 460-7836
Entity
Organization
Contact information
Practice address
61 MAIN ST STE C, SOUTHAMPTON, NY 11968-4870
(631) 460-7836
(631) 209-5030
Mailing address
61 MAIN ST STE C, SOUTHAMPTON, NY 11968-4870
(631) 460-7836
(631) 209-5030
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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