Mindful Life Psychotherapy LLC
Social Worker, Clinical in Mansfield, Massachusetts
1003380684- Practice location
- 200 Chauncy St Ste 113, Mansfield, MA 02048-1200
- Phone
- 508-724-1025
- Fax
- 508-552-9976
- Last updated
- July 6, 2023
Mindful Life Psychotherapy LLC is a healthcare organization based in Mansfield, MA. Mindful Life Psychotherapy LLC practices in Mansfield, MA. The NPI Number for Mindful Life Psychotherapy LLC is 1003380684. The current practice location address for Mindful Life Psychotherapy LLC is 200 Chauncy St Ste 113, Mansfield, MA 02048-1200 and can be reached out via phone at 508-724-1025 and via fax at 508-552-9976.
Provider Profile Details
- NPI Number
- 1003380684
- Provider Name
- Mindful Life Psychotherapy LLC
- Provider Entity Type
- Organization
- Address
- 200 Chauncy St Ste 113, Mansfield, MA 02048-1200
- Phone Number
- 508-724-1025
- Fax Number
- 508-552-9976
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Kathi Hennessey, LICSW · Owner · 508-784-1025
- Provider Enumeration Date
- January 16, 2019
- Last Update Date
- July 6, 2023
- Certification Date
- July 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Chauncy St Ste 113
Mansfield, MA 02048-1200 - City
- Mansfield
- State
- Massachusetts
- Zip
- 02048-1200
- Phone Number
- 508-724-1025
- Fax Number
- 508-552-9976
Provider Business Mailing Address Details
- Address
- 200 Chauncy St Ste 113
Mansfield, MA 02048-1200 - City
- Mansfield
- State
- MA
- Zip
- 02048-1200
- Phone Number
- 508-724-1025
- Fax Number
- 508-552-9976
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mindful Life Psychotherapy LLC?
The NPI number of Mindful Life Psychotherapy LLC is 1003380684. It was assigned on January 16, 2019 and is currently active in the NPPES registry.
What is the specialty of Mindful Life Psychotherapy LLC?
Mindful Life Psychotherapy LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Mindful Life Psychotherapy LLC practice?
The practice location is 200 Chauncy St Ste 113, Mansfield, MA 02048-1200. The office can be reached at 508-724-1025 (phone) or 508-552-9976 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003380684 directly on the NPPES registry website.