MENDFUL MINDS WELLNESS CENTER LLC NPI 1629852918

NPI Information

  • NPI: 1629852918
  • Provider Name: MENDFUL MINDS WELLNESS CENTER, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 31D2316025
  • Address: 2737 N 5TH ST FL 1
    PHILADELPHIA, PA
    ZIP 19133
  • Phone: (267) 831-2157

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NPI Details

MENDFUL MINDS WELLNESS CENTER, LLC is a psychiatric/mental health nurse practitioner in Philadelphia, PA. MENDFUL MINDS WELLNESS CENTER, LLC NPI is 1629852918. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2737 N 5TH ST FL 1
PHILADELPHIA, PA
ZIP 19133-702
Phone: (267) 831-2157

The provider's authorized official is Constance Courduff .
The authorized official title is Pmhnp and has the following contact phone number (267) 474-9003.

The CLIA number assigned to this NPI record is 31D2316025 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2023 and was last updated on 8/21/2023.

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
1101YM0800XCounselorMental HealthNo
2363LP0808XNurse 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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