Provider Demographics
NPI:1619686698
Name:MINDFUL THERAPY & HYPNOSIS LLC
Entity Type:Organization
Organization Name:MINDFUL THERAPY & HYPNOSIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STEBLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-841-1901
Mailing Address - Street 1:454 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1819
Mailing Address - Country:US
Mailing Address - Phone:412-841-1901
Mailing Address - Fax:888-244-7140
Practice Address - Street 1:454 PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1819
Practice Address - Country:US
Practice Address - Phone:412-841-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty