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MENDFUL MINDS WELLNESS CENTER, LLC
NPI 1629852918
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since August 21, 2023CLIA 31D2316025 · Waiver
2737 N 5TH ST FL 1, PHILADELPHIA, PA 19133(267) 831-2157 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mendful Minds Wellness Center, Llc NPPES

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

MENDFUL MINDS WELLNESS CENTER, LLC (NPI 1629852918) is a healthcare organization registered as a psychiatric/mental health in Philadelphia, Pennsylvania and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Constance Courduff, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1629852918
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMENDFUL MINDS WELLNESS CENTER, LLC
Location Address2737 N 5TH ST FL 1Philadelphia, PA 19133-2702
Mailing Address2 Scenic View DrSicklerville, NJ 08081-3012 · (856) 526-9652
Phone(267) 831-2157
Organization SubpartNo
Authorized OfficialConstance CourduffPmhnp · (267) 474-9003
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 19, 2023
✔ NPI 1629852918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2737 N 5TH ST FL 1, Philadelphia, PA 19133
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2316025

Mendful Minds Wellness Center LLC · Williamstown, NJ
Active · expires Dec 25, 2026
CLIA Number31D2316025
Laboratory TypeIndependent
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorConstance M. Courduff
Laboratory Phone(856) 526-9652
Laboratory LocationMendful Minds Wellness Center LLC375 N Main Street B4, Williamstown, NJ 08094
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mendful Minds Wellness Center, LLC's NPI number?

The NPI number for Mendful Minds Wellness Center, LLC is 1629852918. It was assigned to this organization in the NPPES registry on August 21, 2023.

Where is Mendful Minds Wellness Center, LLC located?

Mendful Minds Wellness Center, LLC is located at 2737 N 5th St Fl 1, Philadelphia, PA 19133. The listed phone number is (267) 831-2157.

What is Mendful Minds Wellness Center, LLC's specialty?

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

Does Mendful Minds Wellness Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2316025) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mendful Minds Wellness Center, LLC was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.