Healthcare Provider Details

I. General information

NPI: 1013831148
Provider Name (Legal Business Name): MINDFUL STATE THERAPY SERVICES LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E MAIN ST
WESTFIELD NY
14787-1304
US

IV. Provider business mailing address

8246 HARDSCRABBLE RD
WESTFIELD NY
14787-9757
US

V. Phone/Fax

Practice location:
  • Phone: 716-581-5490
  • Fax:
Mailing address:
  • Phone: 716-581-5490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KARAN TURNQUIST
Title or Position: OWNER
Credential:
Phone: 716-581-5490