Organization
MINDFUL MATTERS LLC
Active
Other names
Mindful Matters
Organization subpart
No
Provider details
NPI number
Authorized official
CAILA SHAW LMHC (CLINICAL DIRECTOR)
(508) 838-8484
Entity
Organization
Contact information
Practice address
12 JARVIS LN, NORTH ATTLEBORO, MA 02760-4313
(508) 838-8484
Mailing address
12 JARVIS LN, NORTH ATTLEBORO, MA 02760-4313
(508) 838-8484
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11900
BOARD OF ALLIED MENTAL HEALTH
MA
Enumeration date
10/22/2020
Last updated
10/22/2020
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