Provider Demographics
NPI:1720861461
Name:MINDFUL HEALING, RECREATIONAL THERAPY SERVICE LLC
Entity Type:Organization
Organization Name:MINDFUL HEALING, RECREATIONAL THERAPY SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RECREATIONAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EICHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CTRS-BH
Authorized Official - Phone:567-249-5219
Mailing Address - Street 1:2658 SCHROEDER ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-2046
Mailing Address - Country:US
Mailing Address - Phone:567-249-5219
Mailing Address - Fax:
Practice Address - Street 1:2658 SCHROEDER ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-2046
Practice Address - Country:US
Practice Address - Phone:567-249-5219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty