Mindful Matters Llc

LBN: Mindful Matters Llc
Mindful Matters Llc is an health care organization with primary practice located at W2274 Out Of Town Ln , Kaukauna WI 54130-9474. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mindful Matters Llc can be contacted via phone (920) 209-0604, or through Vanden Heuvel, Amy Lynn via phone (920) 209-0604.

Contact Information

Primary practice address
W2274 Out Of Town Ln Kaukauna WI 54130-9474
Phone: (920) 209-0604
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vanden Heuvel, Amy Lynn LCP
Phone: (920) 209-0604

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 4647-125 Wisconsin

Profile Details

NPI number 1407249303
LBN Legal business name Mindful Matters Llc
DBA Doing business as
Authorized official Vanden Heuvel, Amy Lynn LCP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2015
Last updated Mar 17th, 2015 - about 11 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 1407249303 NPPES
Wisconsin MEDICAID 1174831473

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