MEDICARE: MINDFUL LIVING 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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1912520404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL LIVING LLC

Provider Business Mailing Address
First Line	:	5114 BUSHNELL AVE
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-3737
Country	:	US
Telephone Number	:	605-691-5093
Fax Number	:

Provider Business Practice Location Address
First Line	:	5114 BUSHNELL AVE
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-3737
Country	:	US
Telephone Number	:	605-691-5093
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ROBYN MELLANG
Credential	:
Telephone Number	:	605-691-5093

Provider Enumeration Date	:	05/19/2020
Last Update Date	:	06/11/2020

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1891184255 — ROBYN MELLANG
Practice Location Address:

5114 BUSHNELL AVE
SIOUX CITY, IA
51106-3737

Practice Phone: 605-691-5093
Practice Fax:

1073603726 — DR. JAMES ERVIN BUTTERMORE SR. DDS
Practice Location Address:

305 W 39TH ST
SOUTH SIOUX CITY, NE
68776-3737

Practice Phone: 402-494-4924
Practice Fax: 402-494-0928

1467155333 — RESTOREU LLC
Practice Location Address:

305 W 39TH ST
SOUTH SIOUX CITY, NE
68776-3737

Practice Phone: 402-494-4924
Practice Fax:

1467412536 — DR. LINDA K. PARK DDS
Practice Location Address:

35914 HWY 27 , SUITE 2B
HAINES CITY, FL
33844-3737

Practice Phone: 863-422-8338
Practice Fax: 863-422-5268

1275593683 — DR. JARED M. SMITH D.M.D.
Practice Location Address:

618 MAIN ST
CANON CITY, CO
81212-3737

Practice Phone: 719-275-0661
Practice Fax:

Directions to “MINDFUL LIVING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.