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Organization
LATESHA REED NURSE PRACTITIONER A NURSING CORPORATION
Active
Organization
LATESHA REED NURSE PRACTITIONER A NURSING CORPORATION
Active
Other names
Mindful Medicine NP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATESHA TIFFANY REED DNP, FNP, PMHNP (CEO)
(310) 853-2395
Entity
Organization
Contact information
Practice address
5304 SENFORD AVE, LOS ANGELES, CA 90056-1027
(310) 853-2395
Mailing address
400 CORPORATE POINTE, STE 300, CULVER CITY, CA 90230
(310) 853-2395
(203) 902-0115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/30/2023
Last updated
10/28/2024
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