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General NPI Number Information
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NPI Number | 1689445777
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Entity Type | Organization
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Legal Business Name | MINDFULHEALINGROUP FAMILY THERAPY INC.
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 4470 W SUNSET BLVD STE 107
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City | LOS ANGELES
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State | CA
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Zip | 90027-6309
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Country | US
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Telephone | 310-806-6899
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD. UNIT 81735
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City | W. HOLLYWOOD
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State | CA
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Zip | 90069
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Country | US
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Telephone | 310-804-6899
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANNA SAWICKA
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Credential | LMFT
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Telephone | 310-804-6899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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