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General NPI Number Information
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NPI Number | 1962821520
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Entity Type | Organization
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Legal Business Name | MINDFUL FAMILIES
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 7835 TELEGRAPH RD
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City | BLOOMINGTON
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State | MN
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Zip | 55438-1133
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Country | US
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Telephone | 612-486-2956
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Fax | 888-974-1262
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Provider Business Mailing Address
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Address Line | 7835 TELEGRAPH RD
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City | BLOOMINGTON
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State | MN
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Zip | 55438-1133
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Country | US
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Telephone | 612-486-2956
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Fax | 888-974-1262
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | ALLISON KAY PETERSON
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Credential | MA, LP
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Telephone | 612-486-2956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP5049
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License Number State | MN
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