Provider Demographics
NPI:1427651884
Name:A DASH OF MINDFULNESS PSYCHOTHERAPY
Entity type:Organization
Organization Name:A DASH OF MINDFULNESS PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:MARBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-856-7799
Mailing Address - Street 1:2251 BAGDAD RD STE 303
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6522
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2251 BAGDAD RD STE 303
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6522
Practice Address - Country:US
Practice Address - Phone:512-856-7799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty