Mindful Mentality, Llc
LBN: Mindful Mentality, Llc
Mindful Mentality, Llc is an health care organization with primary practice located at 3633 Wheeler Rd Ste 320 , Augusta GA 30909-6552. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Mindful Mentality, Llc can be contacted via phone (068) 423-2797, or through Northington-Reissman, Stephanie Anne via phone (630) 926-0577.
Contact Information
Primary practice address
3633 Wheeler Rd Ste 320
Augusta GA 30909-6552
Phone: (068) 423-2797
Fax:
Website:
Authorized official contact:
Name: Northington-Reissman, Stephanie Anne PHD, QBA
Phone: (630) 926-0577
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1871210260 |
|---|---|
| LBN Legal business name | Mindful Mentality, Llc |
| DBA Doing business as | |
| Authorized official | Northington-Reissman, Stephanie Anne PHD, QBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2022 |
| Last updated | Oct 26th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871210260 | NPPES |
| Georgia | Other | 1346811775 | NPI |
| Georgia | Other | 1457632150 | NPI |
| Georgia | Other | 15488319602 | NPI |
| Georgia | Other | 1528639952 | NPI |
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