Organization
MINDFUL THERAPY GROUP PC
Active
Other names
Mindful Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK ALAN CRAIN LICSW (OWNER)
(425) 640-7009
Entity
Organization
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
(425) 678-6455
Mailing address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
(425) 640-9600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH 00006954
WA
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
LW 00009354
WA
106H00000X
Marriage & Family Therapist
LF 60159362
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/21/2011
Last updated
07/11/2025
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