Organization
MINDFUL MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ASHLEY MORTON PAULY MHA (PAYOR RELATIONSHIP MANAGER)
(425) 640-7009
Entity
Organization
Contact information
Practice address
16225 PARK TEN PL STE 500, HOUSTON, TX 77084-5152
(425) 640-7009
(425) 678-6455
Mailing address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
(425) 678-6455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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