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MINDFUL SOLUTION LLC NPI 1225303068


NPI Information

NPI: 1225303068
Provider Name: MINDFUL SOLUTION, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
1 COMMERCE DR
SUITE 205
HATTIESBURG, MS
ZIP 39402
Phone: (601) 336-0347
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MINDFUL SOLUTION, LLC is a prescribing (medical) psychologist in Hattiesburg, MS. The provider is 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. MINDFUL SOLUTION, LLC NPI is 1225303068. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 COMMERCE DR
SUITE 205
HATTIESBURG, MS
ZIP 39402-499
Phone: (601) 336-0347

The provider's authorized official is Siddeeqah Daaiyah Bilal .
The authorized official title is Psychiatrist and has the following contact phone number (601) 291-5951.

The enumeration date for this NPI number is 3/13/2012 and was last updated on 7/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)21181MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1302G704639OTHERMISSISSIPPIMEDICARE
200178228MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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