Healthcare Provider Details

I. General information

NPI: 1013831668
Provider Name (Legal Business Name): MINDFUL MINDS HOLISTIC WELLNESS COACHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 MARTINIQUE DR
BUFFALO NY
14227-3129
US

IV. Provider business mailing address

43 MARTINIQUE DR
BUFFALO NY
14227-3129
US

V. Phone/Fax

Practice location:
  • Phone: 716-316-8805
  • Fax:
Mailing address:
  • Phone: 716-316-8805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ROSALIND ACOSTA SCHAAF
Title or Position: OWNER
Credential: MS, PHD
Phone: 716-316-8805