Organization
MINDFUL SOLUTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDDEEQAH DAAIYAH BILAL MD (PSYCHIATRIST)
(601) 291-5951
Entity
Organization
Contact information
Practice address
1 COMMERCE DR, SUITE 205, HATTIESBURG, MS 39402-1499
(601) 336-0347
Mailing address
1 COMMERCE DR, SUITE 205, HATTIESBURG, MS 39402-1499
(601) 336-0347
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
21181
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00178228
—
MS
01
—
302G704639
MEDICARE
MS
Enumeration date
03/13/2012
Last updated
07/25/2013
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