Organization
MINDFUL ONE LLC
Active
Other names
Mindful One Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALA K TANDON PSY.D (DIRECTOR)
(571) 332-9095
Entity
Organization
Contact information
Practice address
5921 HALL ST, SPRINGFIELD, VA 22152-1402
(571) 332-9095
Mailing address
5921 HALL ST, SPRINGFIELD, VA 22152-1402
(571) 332-9095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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