Provider Demographics
NPI:1285044362
Name:GIRTEN, MINDY (MA LCMHC)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:GIRTEN
Suffix:
Gender:F
Credentials:MA LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 542
Mailing Address - Street 2:27 BANK STREET, SUITE 7
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-0542
Mailing Address - Country:US
Mailing Address - Phone:603-252-0381
Mailing Address - Fax:
Practice Address - Street 1:27 BANK ST
Practice Address - Street 2:SUITE 7
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1702
Practice Address - Country:US
Practice Address - Phone:603-252-0381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health