Organization
MINDFUL WELLNESS COUNSELING, LLC.
Active
Other names
Mindful Wellness Counseling, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
ZOE WINDHAM HUNTER TRAVERS LCSW-C (OWNER)
(301) 792-9212
Entity
Organization
Contact information
Practice address
12869 RENNOLL RD, GLEN ROCK, PA 17327-8506
(301) 792-9212
Mailing address
12869 RENNOLL RD, GLEN ROCK, PA 17327-8506
(301) 792-9212
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
15257
MD
261QM0850X
Adult Mental Health Clinic/Center
Primary
CW019687
PA
Other
Enumeration date
03/19/2018
Last updated
08/02/2019
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