Organization
MINDFUL INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GRAHAM (CEO)
(910) 409-8476
Entity
Organization
Contact information
Practice address
1609 PAGELAND HWY, LANCASTER, SC 29720
(910) 409-8476
Mailing address
1609 PAGELAND HWY, LANCASTER, SC 29720
(910) 409-8476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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