Organization
MIND DOJO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN GRAWERT MD (MEDICAL DIRECTOR)
(724) 755-3022
Entity
Organization
Contact information
Practice address
8958 HILL DR, IRWIN, PA 15642-3112
(724) 755-3022
Mailing address
1059 GIULIA DR, IRWIN, PA 15642-4187
(724) 755-3922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/12/2022
Last updated
04/20/2026
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