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NPI Code Detail

MEDICARE: MINDFUL LIFE SERVICES LLC

MEDICARE: MINDFUL LIFE SERVICES 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1952053753
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDFUL LIFE SERVICES LLC
Provider Business Mailing Address
First Line : 1827 POWERS FERRY RD SE STE 350
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5621
Country : US
Telephone Number : 855-657-9355
Fax Number :
Provider Business Practice Location Address
First Line : 1827 POWERS FERRY RD SE STE 350
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5621
Country : US
Telephone Number : 855-657-9355
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. EDNA ABNEY
Credential : DMFT
Telephone Number : 855-657-9355
Provider Enumeration Date : 01/22/2022
Last Update Date : 03/21/2026

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Directions to “MINDFUL LIFE SERVICES LLC ” Practice Location

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