Provider Demographics
NPI:1326473745
Name:MINDFUL HEALING, LLC
Entity Type:Organization
Organization Name:MINDFUL HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DOMINIC
Authorized Official - Last Name:IAROCCI
Authorized Official - Suffix:
Authorized Official - Credentials:PCC
Authorized Official - Phone:216-673-6973
Mailing Address - Street 1:3279 SCRANTON RD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1659
Mailing Address - Country:US
Mailing Address - Phone:216-673-6973
Mailing Address - Fax:216-772-3279
Practice Address - Street 1:3279 SCRANTON RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1659
Practice Address - Country:US
Practice Address - Phone:216-673-6973
Practice Address - Fax:216-772-3279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty