Organization
MINDFUL CO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACALYN WETZEL (LCSW/OWNER)
(919) 988-0605
Entity
Organization
Contact information
Practice address
2081 TRAILWOOD DR, BILOXI, MS 39532-4218
(323) 332-1183
Mailing address
2081 TRAILWOOD DR, BILOXI, MS 39532-4218
(919) 988-0605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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