| Mindful Behavioral Healthcare, Llc | |
|
717 E Oak St Kissimmee FL 34744-4580 | |
| (407) 846-0533 | |
| (407) 518-1730 |
| Full Name | Mindful Behavioral Healthcare, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 717 E Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Michelle Missigman (COO) |
| Authorized Official Contact | 3523289139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Behavioral Healthcare, Llc 717 E Oak St Kissimmee FL 34744-4580 Ph: (407) 846-0533 | Mindful Behavioral Healthcare, Llc 717 E Oak St Kissimmee FL 34744-4580 Ph: (407) 846-0533 |
| NPI Number | 1578235826 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578235826 | NPI | - | NPPES |
| 006520800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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