OrganizationActive
Mind to Mindful
NPI 1063979839 · Group Psychotherapy Psychologist · Granite Bay, CA
Provider details
- NPI number
- 1063979839
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Douglas Wood, Operations Director(517) 759-5551
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4190 Douglas Blvd Ste 300
Granite Bay, CA 95746-5918
Phone: (517) 759-5551
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 242
Tecumseh, MI 49286-0242
Registry dates
- Enumerated
- 2019-02-27
- Last updated
- 2019-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.