Mindful Solutions Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11649 Issued in FL

Legal business name

MINDFUL SOLUTIONS THERAPY, LLC

Practice address

4532 Tamiami TRL E Ste 302
Naples, FL 34112-6784

Phone

(239) 307-8038

NPI assigned

Nov 20, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristina L Kardanow, LCSW

Title

Clinician

Phone

(239) 307-8038

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1003320524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WILDWOOD LAKES BLVD UNIT 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046457",
            "telephone_number": "239-307-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 TAMIAMI TRL E STE 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126784",
            "telephone_number": "239-307-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SOLUTIONS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "KARDANOW",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "239-307-8038",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "11649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Naples, FL
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.