Provider Demographics
NPI:1912703125
Name:MINDFUL MATTERS LLC
Entity type:Organization
Organization Name:MINDFUL MATTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CURSTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KONOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-PIP, QMHP
Authorized Official - Phone:605-881-2105
Mailing Address - Street 1:48110 188TH ST
Mailing Address - Street 2:
Mailing Address - City:BRANDT
Mailing Address - State:SD
Mailing Address - Zip Code:57218-5720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:48110 188TH ST
Practice Address - Street 2:
Practice Address - City:BRANDT
Practice Address - State:SD
Practice Address - Zip Code:57218-5720
Practice Address - Country:US
Practice Address - Phone:605-881-2105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty