Organization
MINDFUL AND WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORA MARTIN-EASH LCSW (OWNER)
(260) 383-2322
Entity
Organization
Contact information
Practice address
505 E NORTH VILLAGE DR, SHIPSHEWANA, IN 46565-8662
(260) 383-2322
(260) 383-2422
Mailing address
5955 N 1120 W, MIDDLEBURY, IN 46540-9386
(260) 383-2322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
12/18/2023
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