MINDFUL LIFE THERAPY NPI 1003442393

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Torrance, CA

Organization Clinic/Center Mental Health (Including Community Menta...

About MINDFUL LIFE THERAPY

Mindful Life Therapy is a provider established in Torrance, California specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Mindful Life Therapy is 1003442393 and was assigned on March 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated March 2020. The authorized official of this NPI record is Angelica Galvan-nava (Licensed Marriage Family Therapist)

NPI

1003442393

Provider NameMINDFUL LIFE THERAPY
Provider Location Address18411 CRENSHAW BLVD STE 432 TORRANCE, CA 90504
Provider Mailing AddressPO BOX 446 REDONDO BEACH, CA 90277
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-18-2020
Last Update Date03-18-2020

Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

MINDFUL LIFE THERAPY
18411 CRENSHAW BLVD STE 432
TORRANCE, CA
ZIP 90504
Phone: (310) 750-7448

Get Directions

Mailing Address

MINDFUL LIFE THERAPY
PO BOX 446
REDONDO BEACH, CA
ZIP 90277
Phone:

Authorized Official

Authorized Official Name ANGELICA GALVAN-NAVA
Authorized Official TitleLICENSED MARRIAGE FAMILY THERAPIST
Authorized Official Phone(310) 750-7448

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497917090 ANGELICA GALVAN-NAVA II
Individual
Marriage & Family Therapist18411 CRENSHAW BLVD STE 432
TORRANCE, CA 90504
(657) 204-4513

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.