| A Mindful Life Llc | |
|
15 S Robinson St Baltimore MD 21224-2256 | |
| (301) 758-7038 | |
| Not Available |
| Full Name | A Mindful Life Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15 S Robinson St, Baltimore, Maryland |
| Authorized Official Name and Position | Colleen Jordon (OWNER) |
| Authorized Official Contact | 3017587038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Mindful Life Llc 15 S Robinson St Baltimore MD 21224-2256 Ph: (301) 758-7038 | A Mindful Life Llc 15 S Robinson St Baltimore MD 21224-2256 Ph: (301) 758-7038 |
| NPI Number | 1821702879 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821702879 | NPI | - | NPPES |
| 14301 | Other | MD | SOCIAL WORK LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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