# MINDFUL MINDS PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235882564
- **Authorized official:** DEIMYS VIGIL NP (OWNER)
- **Authorized official phone:** (786) 589-1291

## Contact information

- **Practice address:** 12760 STROH RANCH WAY STE 203, PARKER, CO 80134-7507
- **Practice address phone:** (720) 458-5413
- **Practice address fax:** (720) 815-0397
- **Mailing address:** 16592 HIGH DESERT PL, PARKER, CO 80134-3044
- **Mailing address phone:** (720) 458-5413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2022
- **Last updated:** 05/15/2024