| Mindful Matters | |
|
1613 23rd Avenue Gulfport MS 39501 | |
| (228) 284-4651 | |
| (228) 284-4636 |
| Full Name | Mindful Matters |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1613 23rd Avenue, Gulfport, Mississippi |
| Authorized Official Name and Position | Brian Andrew Hammock (OWNER) |
| Authorized Official Contact | 2282844651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Matters 1613 23rd Avenue Gulfport MS 39501 Ph: (228) 224-4651 | Mindful Matters 1613 23rd Avenue Gulfport MS 39501 Ph: (228) 284-4651 |
| NPI Number | 1639620560 |
|---|---|
| Provider Enumeration Date | 10/15/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639620560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 21689 (Mississippi) | Primary |
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