Organization
MINDFULNESS & LOVE PSYCHOTEHRAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BRAKE LMFT (OWNER)
(512) 420-0333
Entity
Organization
Contact information
Practice address
3724 JEFFERSON ST, SUITE 200, AUSTIN, TX 78731-6225
(512) 665-3499
Mailing address
3724 JEFFERSON ST, SUITE 200, AUSTIN, TX 78731-6225
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201994
TX
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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