Organization
MINDFUL MENDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER JIMISON LCSW (OWNER/ THERAPIST)
(304) 617-7331
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY STE 1236, LOUISVILLE, KY 40217-1462
(304) 617-7331
Mailing address
5322 HAVENTREE PL, LOUISVILLE, KY 40229-2263
(304) 617-7331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
07/24/2024
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