Organization Name: | MINDFULNESS IN YOUR LIFE, LLC |
NPI Number: | 1750623310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN L BARIE (OWNER) |
Mailing Address: | 6201 Greenbelt Rd Ste U4 Berwyn Heights |
State: | MD US |
Postal Code: | 207402361 |
Phone Number: | 3019105812 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2013 |
NPI Last Update Date: | 03/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 14712 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |