Organization
MINDFUL PSYCHOTHERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA TRELLES LPCMH, NCC (OWNER/THERAPIST)
(302) 827-3863
Entity
Organization
Contact information
Practice address
19847 JOHN J WILLIAMS HWY, SUITE 213, REHOBOTH BEACH, DE 19971
(302) 827-3863
Mailing address
19847 JOHN J WILLIAMS HWY, SUITE 213, REHOBOTH BEACH, DE 19971
(302) 827-3863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/06/2024
Last updated
11/08/2024
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