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Organization

MIND DOJO LLC

Active
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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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