| Mindful Evolution, L.l.c. | |
|
200 Fort Meade Rd Apt 1107 Laurel MD 20707-4420 | |
| (301) 875-3830 | |
| Not Available |
| Full Name | Mindful Evolution, L.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 200 Fort Meade Rd Apt 1107, Laurel, Maryland |
| Authorized Official Name and Position | Joy Rush (OWNER) |
| Authorized Official Contact | 3018753830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Evolution, L.l.c. 200 Fort Meade Rd Apt 1107 Laurel MD 20707-4420 Ph: (301) 875-3830 | Mindful Evolution, L.l.c. 200 Fort Meade Rd Apt 1107 Laurel MD 20707-4420 Ph: (301) 875-3830 |
| NPI Number | 1558136226 |
|---|---|
| Provider Enumeration Date | 11/22/2023 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558136226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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