Provider Demographics
NPI:1407690522
Name:MINDFUL EDUCATORS
Entity type:Organization
Organization Name:MINDFUL EDUCATORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:401-441-2501
Mailing Address - Street 1:5505 SEMINARY RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3500
Mailing Address - Country:US
Mailing Address - Phone:401-441-2501
Mailing Address - Fax:
Practice Address - Street 1:600 MASSACHUSETTS AVE NW STE 250
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-5554
Practice Address - Country:US
Practice Address - Phone:202-807-5610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty