Organization
BE MINDFUL OUTREACH SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRICE MITCHELL (CEO)
(804) 248-3926
Entity
Organization
Contact information
Practice address
101 BUFORD RD STE 201, NORTH CHESTERFIELD, VA 23235-5292
(804) 248-3926
Mailing address
101 BUFORD RD STE 201, NORTH CHESTERFIELD, VA 23235-5292
(804) 248-3926
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/27/2018
Last updated
04/12/2023
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