Provider Demographics
NPI:1508587718
Name:BE MINDFUL MEDS LLC
Entity Type:Organization
Organization Name:BE MINDFUL MEDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CINIERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-264-7553
Mailing Address - Street 1:312 W 2ND ST STE 5069
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2412
Mailing Address - Country:US
Mailing Address - Phone:415-264-7553
Mailing Address - Fax:
Practice Address - Street 1:312 W 2ND ST STE 5069
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2412
Practice Address - Country:US
Practice Address - Phone:415-264-7553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty