| The Mindful 60 Llc | |
|
401 Hamilton Rd Ste 114 Bossier City LA 71111-4615 | |
| (318) 210-9147 | |
| Not Available |
| Full Name | The Mindful 60 Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 Hamilton Rd Ste 114, Bossier City, Louisiana |
| Authorized Official Name and Position | Lauren Smith (CEO) |
| Authorized Official Contact | 3182109147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mindful 60 Llc 131 Plantation Trce Bossier City LA 71112-8807 Ph: (318) 210-9147 | The Mindful 60 Llc 401 Hamilton Rd Ste 114 Bossier City LA 71111-4615 Ph: (318) 210-9147 |
| NPI Number | 1194505974 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194505974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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