Mindful Athletes

LBN: Mindful Athletes
Mindful Athletes is an health care organization with primary practice located at 12569 Plymouth Ct , Woodbridge VA 22192-2349. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mindful Athletes can be contacted via phone (703) 220-0037, or through Slade, Kailyn Rae via phone (703) 220-0037.

Contact Information

Primary practice address
12569 Plymouth Ct Woodbridge VA 22192-2349
Phone: (703) 220-0037
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Slade, Kailyn Rae Licensed Clinical Social Worker (LCSW)
Phone: (703) 220-0037

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1467104844
LBN Legal business name Mindful Athletes
DBA Doing business as
Authorized official Slade, Kailyn Rae Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2022
Last updated Jan 26th, 2022 - about 3 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 1467104844 NPPES
Virginia Other 2123 ANTHEM

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