Mine Living LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MINE LIVING LLC

Practice address

6100 Channingway Blvd Ste 406
Columbus, OH 43232-2910

Phone

(614) 456-9952

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Anthony QuallsNPI 1164234084

Title

Owner

Phone

(614) 456-9952

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Qualls

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1164234084
  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1144075466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E 13TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112727",
            "telephone_number": "614-456-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 CHANNINGWAY BLVD STE 406",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322910",
            "telephone_number": "614-456-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-456-9952"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Therapy Group, P.C.
• Mindful Therapy Services
• Tiffany Mindigo
• Mindsmatter LLC
• Mindy J. Nielsen Professional Counseling, LLC
• Ashley Rae Miner, CDCA
• Minerva Park Behavioral Health
• Minerva Park Family Practice, LLC
• Annie Mines
• Mineto Kamada

• Early Intervention Provider Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Early Intervention Provider Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.