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Mindful Wellness LLC

Nurse Practitioner, Psych/Mental Health in West Carrollton, OH. Organization (NPI-2).

NPI number1265124804
StatusActive
Last updated in NPPESNov 5, 2025

Details

NPI
1265124804
Entity type
Organization (NPI-2)
Legal business name
Mindful Wellness LLC
Organization subpart
No
Enumeration date
May 23, 2023
Certification date
Nov 5, 2025
Last updated
Nov 5, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
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
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes

Practice location

3781 W Alex Bell Rd
West Carrollton, OH 45449-1920

Phone 937-476-1940 · Fax 937-915-0450

Mailing address

3781 W Alex Bell Rd
West Carrollton, OH 45449-1920

Phone 937-476-1940 · Fax 937-915-0450

Authorized official

Tyneah Morris
Nurse Practitioner
9378304141

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.

Other Psychiatric/Mental Health Nurse Practitioner providers in West Carrollton, OH

All 6 Psychiatric/Mental Health Nurse Practitioner providers in West Carrollton · All 257 providers in West Carrollton

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