Mindful Behavioral, Inc

LBN: Mindful Behavioral, Inc
Mindful Behavioral, Inc is an health care organization with primary practice located at 2712 Middleburg Dr Suite 105, Columbia SC 29204-2415. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mindful Behavioral, Inc can be contacted via phone (803) 569-1789, or through Proctor, Jomoyatta Akila via phone (919) 697-0767.

Contact Information

Primary practice address
2712 Middleburg Dr Suite 105 Columbia SC 29204-2415
Phone: (803) 569-1789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Proctor, Jomoyatta Akila
Phone: (919) 697-0767

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X South Carolina

Profile Details

NPI number 1811236342
LBN Legal business name Mindful Behavioral, Inc
DBA Doing business as
Authorized official Proctor, Jomoyatta Akila
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2013
Last updated Jan 27th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811236342 NPPES
South Carolina MEDICAID 159 BHS

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