| Mindful Life Full Llc | |
|
3063 Bay St Gulf Breeze FL 32563-3105 | |
| (773) 368-9619 | |
| Not Available |
| Full Name | Mindful Life Full Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3063 Bay St, Gulf Breeze, Florida |
| Authorized Official Name and Position | Georgia Jones (OWNER) |
| Authorized Official Contact | 7733689619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Life Full Llc 3063 Bay St Gulf Breeze FL 32563-3105 Ph: (773) 368-9619 | Mindful Life Full Llc 3063 Bay St Gulf Breeze FL 32563-3105 Ph: (773) 368-9619 |
| NPI Number | 1255933214 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255933214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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