| Mindful Life, Llc | |
|
5936 Juniper Ridge Dr Charlestown IN 47111-8646 | |
| (812) 595-9349 | |
| (812) 717-3658 |
| Full Name | Mindful Life, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5936 Juniper Ridge Dr, Charlestown, Indiana |
| Authorized Official Name and Position | Destini Napier (THERAPIST) |
| Authorized Official Contact | 8125959349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Life, Llc 5936 Juniper Ridge Dr Charlestown IN 47111-8646 Ph: (812) 595-9349 | Mindful Life, Llc 5936 Juniper Ridge Dr Charlestown IN 47111-8646 Ph: (812) 595-9349 |
| NPI Number | 1508611690 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 8921542036 |
|---|---|
| Medicare Enrollment ID | O20240701001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508611690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Destini Napier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679239412 PECOS PAC ID: 9830633940 Enrollment ID: I20240701001144 |
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