Organization
MINDFUL MINDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA TATTENHAM LCSW (OWNER, CEO)
(510) 910-1725
Entity
Organization
Contact information
Practice address
730 MISSION ST STE 202, SANTA CRUZ, CA 95060-3689
(510) 910-1725
Mailing address
730 MISSION ST STE 202, SANTA CRUZ, CA 95060-3689
(510) 910-1725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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