MINDFUL SPORT AND PERFORMANCE; NPI #1508470428

Contact Information

MINDFUL SPORT AND PERFORMANCE

401 S MAIN ST
ALPHARETTA, GA 30009-1974

Phone: 404-783-8135
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health	101YM0800X
Corporate Health	261QC1800X
Health Service	261QH0100X
Preferred Provider Organization	305R00000X

Indicates primary specialty

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NPI Profile & details for MINDFUL SPORT AND PERFORMANCE

NPI #	`1508470428`
LBN Legal business name	MINDFUL SPORT AND PERFORMANCE
Authorized official	SHENA LOCKE - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/08/2020
Last updated	09/08/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MINDFUL SPORT AND PERFORMANCE

Contact Information

Specialty

Mental Health

Corporate Health

Health Service

Preferred Provider Organization

NPI Profile & details for MINDFUL SPORT AND PERFORMANCE

Reviews for MINDFUL SPORT AND PERFORMANCE