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Be Mindful Outreach Service LLC

Case Management in North Chesterfield, VA. Organization (NPI-2).

NPI number1669973327
StatusActive
Last updated in NPPESApr 12, 2023

Details

NPI
1669973327
Entity type
Organization (NPI-2)
Legal business name
Be Mindful Outreach Service LLC
Organization subpart
No
Enumeration date
Feb 27, 2018
Certification date
Apr 12, 2023
Last updated
Apr 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

101 Buford Rd Ste 201
North Chesterfield, VA 23235-5292

Phone 804-248-3926

Mailing address

101 Buford Rd Ste 201
North Chesterfield, VA 23235-5292

Phone 804-248-3926

Authorized official

Demetrice Mitchell
Ceo
8042483926

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