# MINDFUL MINDS PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1487403259
- **Authorized official:** DEIMYS DAILY VIGIL (OWNER OF THE ENTITY)
- **Authorized official phone:** (720) 458-5413

## Contact information

- **Practice address:** 9101 HARLAN ST UNIT 250, WESTMINSTER, CO 80031-2973
- **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
- **Mailing address fax:** (720) 815-0397

## 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:** 05/15/2024
- **Last updated:** 05/17/2024