Provider Demographics
NPI:1437834132
Name:MINDFUL MINDSETS LLC
Entity Type:Organization
Organization Name:MINDFUL MINDSETS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YARAH
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:WHITFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:ALC
Authorized Official - Phone:251-321-5115
Mailing Address - Street 1:1168 BURLINGTON PASS DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1196
Mailing Address - Country:US
Mailing Address - Phone:251-321-5115
Mailing Address - Fax:251-650-1800
Practice Address - Street 1:851 E I65 SERVICE RD S STE 512
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3111
Practice Address - Country:US
Practice Address - Phone:251-321-5115
Practice Address - Fax:251-650-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty