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Mindfully Guided, LLC

Dietitian, Registered in Greenville, RI. Organization (NPI-2).

NPI number1093662223
StatusActive
Last updated in NPPESMar 16, 2026

Details

NPI
1093662223
Entity type
Organization (NPI-2)
Legal business name
Mindfully Guided, LLC
Organization subpart
No
Enumeration date
Mar 16, 2026
Certification date
Mar 16, 2026
Last updated
Mar 16, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

6 Fair Oaks Ct N
Greenville, RI 02828-2511

Phone 952-452-1580

Mailing address

6 Fair Oaks Ct N
Greenville, RI 02828-2511

Phone 952-452-1580

Authorized official

Alexis Culhane
Registered Dietitian
9524521580

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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