Mindful Haven LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDFUL HAVEN LLC

Practice address

9524 Belair Rd
Nottingham, MD 21236-1544

Phone

(410) 630-8292

NPI assigned

Sep 22, 2025

Organization subpart

No

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

Authorized official

Name

Latoya VictorNPI 1538559778

Title

Co-Owner

Phone

(410) 630-8292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mindful Haven LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
  • NPI 1093563512

  O20240626003293

  Same enrollment

Tax ID family

Mindful Haven LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mindful Haven LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, DE
  • NPI 1568325546
  NPD tax ID

Practitioners 2

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

• Latoya Victor, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
  • NPI 1538559778
  NPD Authorized official
• Jacqueline Colette Armstrong, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1619504867
  NPD

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1184596801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 HONEYGO CENTER DR STE 102-294",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288963",
            "telephone_number": "410-630-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361544",
            "telephone_number": "410-630-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "410-630-8292"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Mills
• Rashad Lajuan Mills
• Ramia Mims
• Mimshach Healthcare Inc.
• Mindful Haven LLC
• Minuteclinic LLC
• Mohit Mittal, RD
• Julie Ann Mizak, LCSW-C
• MNR Industries, LLC
• Keirstian Moats

• Psychiatric/Mental Health Nurse Practitioner in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.