| Mindful Solution, Llc | |
|
1 Commerce Dr Suite 205 Hattiesburg MS 39402-1499 | |
| (601) 336-0347 | |
| Not Available |
| Full Name | Mindful Solution, Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 1 Commerce Dr, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Siddeeqah Daaiyah Bilal (PSYCHIATRIST) |
| Authorized Official Contact | 6012915951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Solution, Llc 1 Commerce Dr Suite 205 Hattiesburg MS 39402-1499 Ph: (601) 336-0347 | Mindful Solution, Llc 1 Commerce Dr Suite 205 Hattiesburg MS 39402-1499 Ph: (601) 336-0347 |
| NPI Number | 1225303068 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225303068 | NPI | - | NPPES |
| 302G704639 | Other | MS | MEDICARE |
| 00178228 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 21181 (Mississippi) | Primary |
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