Provider Demographics
NPI:1710330584
Name:MINDFULNESS COMMUNITY ASSOCIATION, INC
Entity Type:Organization
Organization Name:MINDFULNESS COMMUNITY ASSOCIATION, INC
Other - Org Name:MINDFULNESS COMMUNITY ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MINH
Authorized Official - Middle Name:THU
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:240-389-3919
Mailing Address - Street 1:5627 ALLENTOWN RD
Mailing Address - Street 2:SUITE 101-102
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4520
Mailing Address - Country:US
Mailing Address - Phone:301-678-9411
Mailing Address - Fax:
Practice Address - Street 1:5627 ALLENTOWN RD
Practice Address - Street 2:SUITE 101-102
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4520
Practice Address - Country:US
Practice Address - Phone:301-678-9411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty