# MINDFUL CO, LLC

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

## Provider details

- **NPI number:** 1467168690
- **Authorized official:** JACALYN WETZEL (LCSW/OWNER)
- **Authorized official phone:** (919) 988-0605

## Contact information

- **Practice address:** 2081 TRAILWOOD DR, BILOXI, MS 39532-4218
- **Practice address phone:** (323) 332-1183
- **Mailing address:** 2081 TRAILWOOD DR, BILOXI, MS 39532-4218
- **Mailing address phone:** (919) 988-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 01/31/2023