Provider Demographics
NPI:1770013195
Name:MINDFULBASICS INC
Entity type:Organization
Organization Name:MINDFULBASICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:254-239-0255
Mailing Address - Street 1:415 E FM 2410 RD UNIT 2903
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2938
Mailing Address - Country:US
Mailing Address - Phone:254-239-0255
Mailing Address - Fax:
Practice Address - Street 1:546 E FM 2410 RD STE B
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-5692
Practice Address - Country:US
Practice Address - Phone:254-239-0255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXME8639OtherMASSAGE ESTABLISHMENT LICENSE
TXCE1939OtherAPPROVED MASSAGE THERAPY CONTINUING EDUCATION (CE) PROVIDER
TXMI3364OtherLICENSED MASSAGE THERAPY INSTRUCTOR