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MINDFUL HAVEN LLC
NPI 1093563512
Nurse Practitioner - Psychiatric/Mental Health in Nottingham, MD

Active since May 09, 2024
9706 BELAIR RD # 101-102, NOTTINGHAM, MD 21236(410) 630-8292 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Jun 5, 2024, May 9, 2024 (3 updates tracked since 2024).

About Mindful Haven Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL HAVEN LLC (NPI 1093563512) is a healthcare organization registered as a psychiatric/mental health in Nottingham, Maryland and active in the NPI registry since May 2024. The organization lists Krystle Brown, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1093563512
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFUL HAVEN LLC
Location Address9706 BELAIR RD # 101-102Nottingham, MD 21236-1108
Mailing Address5004 Honeygo Center Dr Ste 102-294Perry Hall, MD 21128-8963 · (410) 870-9380
Phone(410) 630-8292
Organization SubpartNo
Authorized OfficialKrystle BrownBilling Manager · (410) 870-9380
Enumeration DateMay 9, 2024
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1093563512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
9706 BELAIR RD # 101-102, Nottingham, MD 21236
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Haven LLC's NPI number?

The NPI number for Mindful Haven LLC is 1093563512. It was assigned to this organization in the NPPES registry on May 9, 2024.

Where is Mindful Haven LLC located?

Mindful Haven LLC is located at 9706 Belair Rd # 101-102, Nottingham, MD 21236. The listed phone number is (410) 630-8292.

What is Mindful Haven LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mindful Haven LLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.