Provider Demographics
NPI:1417595240
Name:MINDSET THERAPY AND WELLNESS INC.
Entity Type:Organization
Organization Name:MINDSET THERAPY AND WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:301-458-8123
Mailing Address - Street 1:9500 MEDICAL CENTER DR STE 230A
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-3707
Mailing Address - Country:US
Mailing Address - Phone:301-458-8123
Mailing Address - Fax:
Practice Address - Street 1:9500 MEDICAL CENTER DR STE 230A
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-3707
Practice Address - Country:US
Practice Address - Phone:301-458-8123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty