Organization
MINDFUL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIGETTE PENDER LCSW (OWNER / PROVIDER)
(208) 719-1030
Entity
Organization
Contact information
Practice address
13403 N GOVERNMENT WAY STE 102, HAYDEN, ID 83835-8906
(208) 719-1030
Mailing address
13403 N GOVERNMENT WAY STE 102, HAYDEN, ID 83835-8906
(208) 719-1030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
04/07/2023
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