Mindful Mama, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDFUL MAMA, LLC

Practice address

1406 Franklin St
Fredericksburg, VA 22401-4504

Phone

(703) 919-6032

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gwen Paulson, LCSW

Title

Owner

Phone

(703) 919-6032

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwendolyn E Paulson, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1700430071
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1023687407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 FRANKLIN ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014504",
            "telephone_number": "703-919-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 FRANKLIN ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014504",
            "telephone_number": "703-919-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-919-6032",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://doxy.me/mindfulmamallc",
            "affiliation": "N",
            "address_1": "1406 Franklin St",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224014504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Millspaugh, M.S., CCC-SLP
• Nancy Milroy, OTD, OTR/L
• William Joseph Miluszusky, MD
• Aye Min, MD
• Mind Vitality Solutions
• Talisha Doray Minor- Jackson, LMT
• Lavonta Minor
• Linda R. Minor, L.C.S.W.
• Sherrica Minor
• Jose Luis Mira Jr., M.D.

• Community/Behavioral Health Agency in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.