Organization
MINDFUL EVOLUTION, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY RUSH (OWNER)
(301) 875-3830
Entity
Organization
Contact information
Practice address
200 FORT MEADE RD APT 1107, LAUREL, MD 20707-4420
(301) 875-3830
Mailing address
200 FORT MEADE RD APT 1107, LAUREL, MD 20707-4420
(301) 875-3830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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