Organization
BE MINDFUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA MARTIN (OWNER)
(662) 484-4365
Entity
Organization
Contact information
Practice address
921 VAN BUREN AVE STE 9, OXFORD, MS 38655-3800
(662) 484-4365
Mailing address
921 VAN BUREN AVE STE 9, OXFORD, MS 38655-3800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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