| NPI | 1588436844 |
|---|---|
| Doing Business As | MINDFUL MEDICINE NP |
| Entity Type | Organization |
| Authorized Contact | LATESHA TIFFANY REED CEO 310-508-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QC1800X |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-11-16 |