Mind To Mindful

Specialty details in registry · Granite Bay, CA

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At a glance

4190 Douglas Blvd Ste 300, Granite Bay, CA 95746-5918

NPPES record updated Mar 4, 2019. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4190 Douglas Blvd Ste 300
Granite Bay, CA 95746-5918
Professional details: NPI, taxonomy & registry record
NPI1063979839
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
103TP2701X
Enumeration date
Feb 27, 2019
Record updated
Mar 4, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TP2701X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4190 Douglas Blvd Ste 300
Granite Bay, CA 95746-5918
Phone
(517) 759-5551
Mailing address
PO BOX 242

TECUMSEH, MI 492860242
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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