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Organization
MINDFUL MINDS PSYCHIATRY LLC
Active
Organization
MINDFUL MINDS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIMYS VIGIL NP (OWNER)
(786) 589-1291
Entity
Organization
Contact information
Practice address
12760 STROH RANCH WAY STE 203, PARKER, CO 80134-7507
(720) 458-5413
(720) 815-0397
Mailing address
16592 HIGH DESERT PL, PARKER, CO 80134-3044
(720) 458-5413
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
NULL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
05/15/2024
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