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Organization
MINDFULLY TEXAS LLC
Active
Organization
MINDFULLY TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TAIT-MOSS (SVP)
(954) 380-1507
Entity
Organization
Contact information
Practice address
505 E HUNTLAND DR STE 320A, AUSTIN, TX 78752-3741
(737) 257-0829
(800) 853-9889
Mailing address
10290 ALLIANCE RD, BLUE ASH, OH 45242-4710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/13/2026
Last updated
05/01/2026
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