# MINDFUL WELLNESS INC.

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

## Provider details

- **NPI number:** 1275012239
- **Authorized official:** LORI P KAY APRN PMHNP-BC (OWNER/PROVIDER)
- **Authorized official phone:** (337) 532-0157

## Contact information

- **Practice address:** 2704 HODGES ST, LAKE CHARLES, LA 70601-7366
- **Practice address phone:** (712) 646-3385
- **Practice address fax:** (337) 340-9401
- **Mailing address:** 2704 HODGES ST, LAKE CHARLES, LA 70601-7366
- **Mailing address phone:** (712) 646-3385
- **Mailing address fax:** (337) 340-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 08/10/2018
- **Last updated:** 05/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2432541 | — | LA |