# MINDFUL MED MANAGEMENT INC

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

## Provider details

- **NPI number:** 1366242273
- **Authorized official:** APRIL LEE NP (OWNER)
- **Authorized official phone:** (631) 509-7488

## Contact information

- **Practice address:** 100 MARINERS WAY, PORT JEFFERSON, NY 11777-1848
- **Practice address phone:** (631) 991-0052
- **Mailing address:** 100 MARINERS WAY, PORT JEFFERSON, NY 11777-1848
- **Mailing address phone:** (631) 509-7488
- **Mailing address fax:** (631) 778-8004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2025
- **Last updated:** 04/17/2025