Organization
MINDFUL PROVIDERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN WOOD (CEO)
(901) 834-8040
Entity
Organization
Contact information
Practice address
6780 HORIZON RD STE 102, HEATH, TX 75032-2104
(972) 346-1885
(903) 454-2250
Mailing address
6780 HORIZON RD STE 102, HEATH, TX 75032-2104
(972) 346-1885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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