| Mindful Medicine, Llc | |
|
1500 W Market St Ste 200 Mequon WI 53092-5083 | |
| (262) 241-5955 | |
| (262) 241-5926 |
| Full Name | Mindful Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1500 W Market St Ste 200, Mequon, Wisconsin |
| Authorized Official Name and Position | Nanette Palay (OWNER/PMHNP) |
| Authorized Official Contact | 4144166398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Medicine, Llc 1500 W Market St Ste 200 Mequon WI 53092-5083 Ph: (262) 241-5955 | Mindful Medicine, Llc 1500 W Market St Ste 200 Mequon WI 53092-5083 Ph: (262) 241-5955 |
| NPI Number | 1972330827 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972330827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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