Organization Name: | MINDFUL WELLBEING, LLC |
NPI Number: | 1467774356 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIN T ACKLAND (OWNER) |
Mailing Address: | 11 Jillson Way East Sandwich |
State: | MA US |
Postal Code: | 025371265 |
Phone Number: | 5088331652 |
Fax Number: | 7744139345 |
NPI Enumeration Date: | 02/19/2010 |
NPI Last Update Date: | 02/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 203553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |