Mindful Solution, Llc | |
1 Commerce Dr Suite 205 Hattiesburg MS 39402-1499 | |
(601) 336-0347 | |
Not Available |
Full Name | Mindful Solution, Llc |
---|---|
Speciality | Psychologist - Prescribing (medical) |
Location | 1 Commerce Dr, Hattiesburg, Mississippi |
Authorized Official Name and Position | Siddeeqah Daaiyah Bilal (PSYCHIATRIST) |
Authorized Official Contact | 6012915951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mindful Solution, Llc 1 Commerce Dr Suite 205 Hattiesburg MS 39402-1499 Ph: (601) 336-0347 | Mindful Solution, Llc 1 Commerce Dr Suite 205 Hattiesburg MS 39402-1499 Ph: (601) 336-0347 |
NPI Number | 1225303068 |
---|---|
Provider Enumeration Date | 03/13/2012 |
Last Update Date | 07/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225303068 | NPI | - | NPPES |
302G704639 | Other | MS | MEDICARE |
00178228 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | 21181 (Mississippi) | Primary |
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