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NPI 1316882889

NPI 1316882889 : MINDFUL MEADOWS THERAPY : MORENO VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1316882889
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    Entity Type          |    Organization 
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    Legal Business Name  |    MINDFUL MEADOWS THERAPY 
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Dates
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    Enumeration Date     |    04/21/2026
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    Last Update Date     |    04/28/2026
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Provider Practice Location Address
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    Address Line         |    16794 VIA ALEGRIA 
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    City                 |    MORENO VALLEY
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    State                |    CA
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    Zip                  |    92551-2145
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    Country              |    US
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    Telephone            |    951-554-1494
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    Fax                  |    951-380-8484
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Provider Business Mailing Address
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    Address Line         |    23580 ALESSANDRO BLVD UNIT 7661 
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    City                 |    MORENO VALLEY
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    State                |    CA
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    Zip                  |    92552-6035
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    Country              |    US
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    Telephone            |    951-554-1494
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    Fax                  |    951-380-8484
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. DANIELLE CHERRIE CAMPBELL 
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    Credential           |    LCSW
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    Telephone            |    951-554-1494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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