MINDFUL THERAPY, LLC
Medical Practice at Maple St, Ithaca, MI

License number
Michigan SA0190019
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Michigan SA0290035
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Michigan SA0190019
Category
Mental Health
Type
Mental Health
License number
Michigan SA0290035
Category
Mental Health
Type
Mental Health
License number
Michigan SA0190019
Category
Medical Practice
Type
Case Manager/Care Coordinator
License number
Michigan SA0290035
Category
Medical Practice
Type
Case Manager/Care Coordinator
Owner
Name: AUDREY ANN WENDT MSW, LMSW, CAADC
Title: EXECUTIVE DIRECTOR/OWNER
Phone: (989) 388-4185
Address
Address
122 N Maple St, Ithaca, MI 48847
National Provider ID: 1467980300
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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