Provider Demographics
NPI:1689150484
Name:MINDFUL LIFE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:MINDFUL LIFE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEID
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:954-544-0044
Mailing Address - Street 1:3038 N FEDERAL HWY UPPR F2
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1436
Mailing Address - Country:US
Mailing Address - Phone:954-544-0044
Mailing Address - Fax:
Practice Address - Street 1:3038 N FEDERAL HWY UPPR F2
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306
Practice Address - Country:US
Practice Address - Phone:954-544-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-15
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health