Organization
A MINDFUL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANABEL RODRIGUEZ LCSW (FOUNDER/CEO)
(626) 475-7234
Entity
Organization
Contact information
Practice address
100 N BARRANCA ST STE 255A, WEST COVINA, CA 91791-1637
(626) 475-7234
Mailing address
1830 E LINDA VISTA ST, WEST COVINA, CA 91791-3508
(626) 475-7234
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942492202
—
CA
Enumeration date
02/02/2024
Last updated
05/04/2024
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