Provider Demographics
NPI:1528609658
Name:COGNITIVE THERAPY AND MINDFULNESS PRACTICES
Entity type:Organization
Organization Name:COGNITIVE THERAPY AND MINDFULNESS PRACTICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAF
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-687-7007
Mailing Address - Street 1:118 OLD LAFAYETTE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1998
Mailing Address - Country:US
Mailing Address - Phone:859-687-7007
Mailing Address - Fax:859-687-7007
Practice Address - Street 1:118 OLD LAFAYETTE AVE STE 1
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1998
Practice Address - Country:US
Practice Address - Phone:859-687-7007
Practice Address - Fax:859-687-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty