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NPI Code Detail

MEDICARE: MINDFUL PATHS, LLC

MEDICARE: MINDFUL PATHS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1861276115
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDFUL PATHS, LLC
Provider Business Mailing Address
First Line : 400 CENTURY PARK S STE 106
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35226-3925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 CENTURY PARK S STE 106
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35226-3925
Country : US
Telephone Number : 205-894-8530
Fax Number :
Authorized Official
Title or Position : PSYCHIATRIC NURSE PRACTITIONER
Name : SHUNESA PERKINS
Credential : CRNP
Telephone Number : 205-894-8530
Provider Enumeration Date : 08/18/2023
Last Update Date : 08/18/2023

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Directions to “MINDFUL PATHS, LLC ” Practice Location

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