BE MINDFUL LLC NPI 1073487955

NPI Information

  • NPI: 1073487955
  • Provider Name: BE MINDFUL LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 921 VAN BUREN AVE STE 9
    OXFORD, MS
    ZIP 38655
  • Phone: (662) 484-4365

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NPI Details

BE MINDFUL LLC is a psychiatric/mental health nurse practitioner in Oxford, MS. BE MINDFUL LLC NPI is 1073487955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

921 VAN BUREN AVE STE 9
OXFORD, MS
ZIP 38655-800
Phone: (662) 484-4365

The provider's authorized official is Tanisha Martin .
The authorized official title is Owner and has the following contact phone number (662) 484-4365.

The enumeration date for this NPI number is 10/2/2025 and was last updated on 10/2/2025.

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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