MEDICARE: MINDFUL HEALING BEHAVIORAL HEALTH CARE 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1932922101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL HEALING BEHAVIORAL HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	9820 STONE AVE N
Second Line	:	SUITE 101
City	:	SEATTLE
State	:	WA
Zip	:	98103
Country	:	US
Telephone Number	:	206-886-7352
Fax Number	:

Provider Business Practice Location Address
First Line	:	9820 STONE AVE N
Second Line	:	SUITE 101
City	:	SEATTLE
State	:	WA
Zip	:	98103
Country	:	US
Telephone Number	:	206-886-7352
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	RAHMA BARRE
Credential	:
Telephone Number	:	206-886-7352

Provider Enumeration Date	:	11/05/2024
Last Update Date	:	12/23/2025

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