Organization
MINDFUL WELLNESS LLC
Active
Other names
Mindful Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE NICOLE LADD PMHNP (OWNER)
(443) 359-1706
Entity
Organization
Contact information
Practice address
100 BRICKHILL AVE STE 304, SOUTH PORTLAND, ME 04106-1999
(443) 359-1706
Mailing address
119 QUAIL TRL, BUXTON, ME 04093-3219
(443) 359-1706
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
01/23/2025
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