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:
Map and Directions
Authorized official contact:
Name: Northington-Reissman, Stephanie Anne PHD, QBA
Phone: (630) 926-0577

Health care specialties

SpecialtyCodeLicense #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 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 1871210260 NPPES
Georgia Other 1346811775 NPI
Georgia Other 1457632150 NPI
Georgia Other 15488319602 NPI
Georgia Other 1528639952 NPI

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