Provider Demographics
NPI:1376379826
Name:ENHANCED MINDFULNESS SOLUTIONS
Entity type:Organization
Organization Name:ENHANCED MINDFULNESS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:BILAL
Authorized Official - Last Name:ABDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-272-0077
Mailing Address - Street 1:PO BOX 5753
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93031-5753
Mailing Address - Country:US
Mailing Address - Phone:805-272-0077
Mailing Address - Fax:
Practice Address - Street 1:30941 AGOURA RD STE 210
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4658
Practice Address - Country:US
Practice Address - Phone:805-272-0077
Practice Address - Fax:747-222-7107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENHANCED MINDFULNESS SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1386346047OtherNPI