Organization
THE MINDFUL PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D'ACONTI LCSW (SOLE MEMBER/OWNER)
(316) 066-0686
Entity
Organization
Contact information
Practice address
100 DUFFY AVE STE 510, HICKSVILLE, NY 11801-3636
(631) 606-6068
Mailing address
5036 JERICHO TPKE STE 300, COMMACK, NY 11725-2812
(631) 606-6068
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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