| Mindful Solutions Llc | |
|
408 Lafayette Rd Hampton NH 03842-2222 | |
| (603) 601-3989 | |
| Not Available |
| Full Name | Mindful Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 408 Lafayette Rd, Hampton, New Hampshire |
| Authorized Official Name and Position | Lisa Roseberry (OWNER/PROVIDER) |
| Authorized Official Contact | 6036866507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Solutions Llc 408 Lafayette Rd Hampton NH 03842-2222 Ph: () - | Mindful Solutions Llc 408 Lafayette Rd Hampton NH 03842-2222 Ph: (603) 601-3989 |
| NPI Number | 1649803230 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Medicare PECOS PAC ID | 5799106126 |
|---|---|
| Medicare Enrollment ID | O20200610002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649803230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lisa Roseberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588910129 PECOS PAC ID: 2365695160 Enrollment ID: I20161130000495 |
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