Organization
MINDWELL, A LICENSED MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BROOKS MA, LMFT (OWNER/EXECUTIVE DIRECTOR)
(909) 332-2286
Entity
Organization
Contact information
Practice address
232 HARRISON AVE STE F, CLAREMONT, CA 91711-4323
(909) 332-2286
Mailing address
232 HARRISON AVE STE F, CLAREMONT, CA 91711-4323
(909) 332-2286
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740430362
NPI
CA
Enumeration date
06/24/2019
Last updated
06/24/2019
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