MINDFUL HEALING LLC NPI 1043080872

NPI Information

  • NPI: 1043080872
  • Provider Name: MINDFUL HEALING LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1309 COFFEEN AVE STE 1200
    SHERIDAN, WY
    ZIP 82801
  • Phone: (480) 485-3312

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NPI Details

MINDFUL HEALING LLC is a psychiatric/mental health nurse practitioner in Sheridan, WY. MINDFUL HEALING LLC NPI is 1043080872. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1309 COFFEEN AVE STE 1200
SHERIDAN, WY
ZIP 82801-777
Phone: (480) 485-3312
Fax: (480) 674-9679

The provider's authorized official is Tami Trea .
The authorized official title is Pmhnp and has the following contact phone number (480) 485-3312.

The enumeration date for this NPI number is 1/3/2024 and was last updated on 1/3/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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