# MINDFULNESS, LLC

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

## Provider details

- **NPI number:** 1477043552
- **Authorized official:** OSRIC A MALONE-PRIOLEAU APRN, CRC (OWNER)
- **Authorized official phone:** (304) 699-1419

## Contact information

- **Practice address:** 210 2ND ST, SAINT MARYS, WV 26170-1097
- **Practice address phone:** (740) 371-0238
- **Mailing address:** 210 2ND ST, SAINT MARYS, WV 26170-1097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 78769 | WV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 78769 | WV | Yes |

## Other

- **Enumeration date:** 05/15/2018
- **Last updated:** 11/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1932416179 | INDIVIDUAL NPI | WV |
| 05 | — | 3810023137 | — | WV |