| NPI | 1619510336 |
|---|---|
| Doing Business As | MINDFUL HEALTH SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | TRAVIS B THAME Owner 772-812-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |