Organization
MINDFUL, LLC
Active
Organization
MINDFUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL YOUNG II PH.D. (CEO)
(214) 790-8075
Entity
Organization
Contact information
Practice address
12700 HILLCREST RD, SUITE 176, DALLAS, TX 75230-2033
(214) 790-8075
Mailing address
330 APPIAN WAY, DALLAS, TX 75216-1020
(214) 790-8075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35208
TX
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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