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Organization

THE MINDFULNESS SPACE PSYCHOTHERAPY SERVICES, PLLC.

Active
Parent organization
THE MINDFULNESS SPACE PSYCHOTHERAPY SERVICES, PLLC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE MINDFULNESS SPACE PSYCHOTHERAPY SERVICES, PLLC.
Authorized official
MS. STEFANIE M. LAWSON LCSW (OWNER)
(336) 916-1584
Entity
Organization

Contact information

Practice address
717 GREEN VALLEY RD STE 200, GREENSBORO, NC 27408-2156
(336) 916-1584
Mailing address
717 GREEN VALLEY RD STE 200, GREENSBORO, NC 27408-2156
(336) 916-1584

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
11/08/2023
Last updated
11/08/2023
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