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Mindful Solution, Llc
Prescribing (Medical) Psychologist in Hattiesburg, Mississippi
NPI 1225303068

Mindful Solution, Llc is a Prescribing (Medical) Psychologist based in Hattiesburg, MS and is specialized in Prescribing (Medical). Mindful Solution, Llc practices in Hattiesburg, MS. The NPI Number for Mindful Solution, Llc is 1225303068 and holds a License No. 21181 (Mississippi).

The current practice location address for Mindful Solution, Llc is 1 Commerce Dr, Hattiesburg, MS and can be reached out via phone at 601-336-0347. You can also correspond with Mindful Solution, Llc through the mailing address at 1 COMMERCE DR, HATTIESBURG, MS - 39402-1499 (mailing address contact number: 601-336-0347).

Location: 1 Commerce Dr, Hattiesburg, MS, 39402-1499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225303068
Provider Name
Mindful Solution, Llc
Credential
Provider Entity Type
Organization
Address
1 Commerce Dr, Hattiesburg, MS, 39402-1499
Phone Number
601-336-0347
Fax Number
Provider Enumeration Date
03/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302G704639 01 MS MEDICARE
00178228 05 MS
institution
Provider Business Practice Location Address Details
Address
1 Commerce Dr
City
Hattiesburg
State
Mississippi
Zip
39402-1499
Phone Number
601-336-0347
Fax Number
person
Provider Business Mailing Address Details
Address
1 Commerce Dr
City
Hattiesburg
State
Mississippi
Zip
39402-1499
Phone Number
601-336-0347
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
21181 (Mississippi)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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