Organization
MINDFUL WELLNESS PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER BATTISTA LOPEZ MSW, LICSW (THERAPIST/OWNER)
(304) 672-2384
Entity
Organization
Contact information
Practice address
208 PARK ST, MORGANTOWN, WV 26501-7518
(304) 672-2384
Mailing address
1405 EARL L CORE RD PMB1026, MORGANTOWN, WV 26505-7518
(304) 316-6420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
12/06/2022
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