Organization
MINDFUL HEALING TRANSFORMATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK GRANGER WILLIAMS IV LCSW (OWNER)
(541) 993-4668
Entity
Organization
Contact information
Practice address
1210 DRY HOLLOW RD STE 6, THE DALLES, OR 97058-3167
(541) 993-4668
Mailing address
1210 DRY HOLLOW RD STE 6, THE DALLES, OR 97058-3167
(541) 993-4668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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