Provider Demographics
NPI:1063245090
Name:MINDFULNESS UNVEILING LLC
Entity type:Organization
Organization Name:MINDFULNESS UNVEILING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIKE
Authorized Official - Middle Name:SIMEON
Authorized Official - Last Name:AMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-291-2714
Mailing Address - Street 1:1146 HEBER AVE APT D5
Mailing Address - Street 2:
Mailing Address - City:HEBER
Mailing Address - State:CA
Mailing Address - Zip Code:92249-9733
Mailing Address - Country:US
Mailing Address - Phone:713-291-2714
Mailing Address - Fax:719-283-7966
Practice Address - Street 1:1146 HEBER AVE APT D5
Practice Address - Street 2:
Practice Address - City:HEBER
Practice Address - State:CA
Practice Address - Zip Code:92249-9733
Practice Address - Country:US
Practice Address - Phone:713-291-2714
Practice Address - Fax:719-283-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty