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NPI 1861173445

NPI 1861173445 : MINDFUL REFLECTIONS, LLC : HOMER CITY, PA

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General NPI Number Information
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    NPI Number           |    1861173445
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    Entity Type          |    Organization 
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    Legal Business Name  |    MINDFUL REFLECTIONS, LLC 
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Dates
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    Enumeration Date     |    07/27/2023
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    Last Update Date     |    07/27/2023
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Provider Practice Location Address
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    Address Line         |    1670 OLD US 119 HWY S 
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    City                 |    HOMER CITY
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    State                |    PA
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    Zip                  |    15748-7408
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    Country              |    US
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    Telephone            |    724-464-3279
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30 CHURCH ST 
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    City                 |    ARMAGH
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    State                |    PA
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    Zip                  |    15920-9108
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    Country              |    US
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    Telephone            |    724-464-3279
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/LICENSED PROFESSIONAL COUNSEL
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    Name                 |     APRIL  BOWERS 
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    Credential           |    LPC
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    Telephone            |    724-464-3279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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