| Mindfulness Based Interventions LLC | |
|
640 Sherman St., Unit H Ridgway CO 81432 | |
| (970) 318-0529 | |
| (855) 403-3931 |
| Full Name | Mindfulness Based Interventions LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 640 Sherman St., Unit H, Ridgway, Colorado |
| Authorized Official Name and Position | Nichole L Moorman (OWNER) |
| Authorized Official Contact | 9703180529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfulness Based Interventions LLC Po Box 12 Ouray CO 81427-0012 Ph: (970) 318-0529 | Mindfulness Based Interventions LLC 640 Sherman St., Unit H Ridgway CO 81432 Ph: (970) 318-0529 |
| NPI Number | 1861009391 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861009391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
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Mindfulness Based Interventions LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 Sherman St, Ridgway, CO 81432 Phone: 970-318-0529 Fax: 855-403-3931 |