Organization
MINDFUL MOVEMENTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LYNN SANDERSON LCMHC, LCAS, NCC (OWNER/MEMBER)
(248) 396-8810
Entity
Organization
Contact information
Practice address
1118 SAM NEWELL RD STE D1ANDD4, MATTHEWS, NC 28105-5041
(248) 396-8810
Mailing address
401 DEER BRUSH LN, WAXHAW, NC 28173-6307
(248) 396-8810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/16/2019
Last updated
07/22/2022
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