Organization
PATH T0 MINDFUL BALANCED MENTAL WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACIELA GONZALEZ LCSW (BEHAVIORAL HEALTH THERAPIST)
(818) 426-2612
Entity
Organization
Contact information
Practice address
10315 WOODLEY AVE STE 123, GRANADA HILLS, CA 91344-6953
(818) 488-1105
Mailing address
4051 DONEVA RD, MOORPARK, CA 93021-2910
(818) 426-2612
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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