Provider Demographics
NPI:1184452799
Name:QUILES MINDFUL SOLUTIONS, PLLC
Entity type:Organization
Organization Name:QUILES MINDFUL SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA QUILES
Authorized Official - Suffix:SR
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-723-3341
Mailing Address - Street 1:160 ALEWIFE BROOK PKWY # 1060
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1102
Mailing Address - Country:US
Mailing Address - Phone:508-723-3341
Mailing Address - Fax:
Practice Address - Street 1:160 ALEWIFE BROOK PKWY # 1060
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1102
Practice Address - Country:US
Practice Address - Phone:508-723-3341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health