Purposely Mindful, Llc | |
815 Vanguard St Lexington SC 29073-9791 | |
(803) 216-5305 | |
Not Available |
Full Name | Purposely Mindful, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 815 Vanguard St, Lexington, South Carolina |
Authorized Official Name and Position | Samantha Latoya Hodges (THERAPIST, LISW) |
Authorized Official Contact | 8032165305 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Purposely Mindful, Llc 815 Vanguard St Lexington SC 29073-9791 Ph: (803) 216-5305 | Purposely Mindful, Llc 815 Vanguard St Lexington SC 29073-9791 Ph: (803) 216-5305 |
NPI Number | 1336874825 |
---|---|
Provider Enumeration Date | 07/19/2022 |
Last Update Date | 07/19/2022 |
Certification Date | 07/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336874825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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