Organization
THE MINDFUL DOC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN NICOLAE ILIESCU PSYD (OWNER)
(720) 443-3038
Entity
Organization
Contact information
Practice address
13403 NEWCASTLE COMMONS DR, NEWCASTLE, WA 98059-3219
(720) 443-3038
Mailing address
101 RAINBOW DR PMB 3664, LIVINGSTON, TX 77399
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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