Organization
MINDFUL PERFORMANCE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA VOLANT MA, LLP (OWNER)
(989) 370-0703
Entity
Organization
Contact information
Practice address
1414 TRADE CENTER DR STE 26-E, TRAVERSE CITY, MI 49696-8944
(989) 370-0703
Mailing address
1414 TRADE CENTER DR STE 26-E, TRAVERSE CITY, MI 49696-8944
(989) 370-0703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
01/07/2022
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