Organization
MIND-GLOWING THERAPY, A CLINICAL SOCIAL WORKER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LE (OWNER)
(909) 310-2652
Entity
Organization
Contact information
Practice address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(909) 310-2652
Mailing address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(909) 310-2652
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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