Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MINDFUL JOURNEY WELLNESS, LLC
NPI 1639076912
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Q: What is Mindful Journey Wellness, LLC's NPI number?

The NPI number for Mindful Journey Wellness, LLC is 1639076912. It was assigned to this organization in the NPPES registry on October 21, 2026.

Q: What is Mindful Journey Wellness, LLC's specialty?

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

Active since October 21, 2026

2104 PEACE LILY LN, FREDERICK, MD 21702(571) 331-4356 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mindful Journey Wellness, Llc NPPES

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

MINDFUL JOURNEY WELLNESS, LLC (NPI 1639076912) is a healthcare organization registered as a psychiatric/mental health in Frederick, Maryland and active in the NPI registry since October 2026. The organization lists Isatu Kanu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639076912

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMINDFUL JOURNEY WELLNESS, LLC

Location Address2104 PEACE LILY LNFrederick, MD 21702-1777

Mailing Address2104 Peace Lily LnFrederick, MD 21702-1777 · (571) 331-4356

Phone(571) 331-4356

Organization SubpartNo

Authorized OfficialIsatu KanuCeo · (571) 331-4356

Enumeration DateOctober 21, 2026

NPPES CertifiedOctober 21, 2026

✔ NPI 1639076912 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

2104 PEACE LILY LN, Frederick, MD 21702

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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 Journey Wellness, LLC's NPI number?

The NPI number for Mindful Journey Wellness, LLC is 1639076912. It was assigned to this organization in the NPPES registry on October 21, 2026.

Where is Mindful Journey Wellness, LLC located?

Mindful Journey Wellness, LLC is located at 2104 Peace Lily Ln, Frederick, MD 21702. The listed phone number is (571) 331-4356.

What is Mindful Journey Wellness, 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 Journey Wellness, LLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.