Provider Demographics
NPI:1720777683
Name:SEVENFOLD INVESTMENT GROUP LLC
Entity Type:Organization
Organization Name:SEVENFOLD INVESTMENT GROUP LLC
Other - Org Name:MINDFUL MIND SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-344-9153
Mailing Address - Street 1:2701 NEABSCO COMMON PL APT 443
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-6714
Mailing Address - Country:US
Mailing Address - Phone:202-344-9153
Mailing Address - Fax:
Practice Address - Street 1:2701 NEABSCO COMMON PL APT 443
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-6714
Practice Address - Country:US
Practice Address - Phone:202-344-9153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health