| Mindful Behavioral Inc | |
|
323 Mercy St Lake City SC 29560-2331 | |
| (843) 374-4494 | |
| (888) 974-8541 |
| Full Name | Mindful Behavioral Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 323 Mercy St, Lake City, South Carolina |
| Authorized Official Name and Position | Akila Proctor (CEO) |
| Authorized Official Contact | 9196970767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Behavioral Inc 2712 Middleburg Dr Suite 105 Columbia SC 29204-2415 Ph: (803) 569-1789 | Mindful Behavioral Inc 323 Mercy St Lake City SC 29560-2331 Ph: (843) 374-4494 |
| NPI Number | 1326423443 |
|---|---|
| Provider Enumeration Date | 07/30/2015 |
| Last Update Date | 01/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326423443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20152393 (South Carolina) | Primary |
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