Organization
MINDFUL INTEGRATIVE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIGNE HELEN ALEXANDER LCSW (THERAPIST/OWNER)
(207) 295-5840
Entity
Organization
Contact information
Practice address
1 OLD FLYING POINT RD, FREEPORT, ME 04032-6516
(207) 295-5840
(207) 865-6497
Mailing address
1 OLD FLYING POINT RD, FREEPORT, ME 04032-6516
(207) 295-5840
(207) 865-6497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT2503
STATE LICENSE
ME
Enumeration date
05/21/2012
Last updated
10/19/2022
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