Mindful Living Center - Georgia LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MINDFUL LIVING CENTER - GEORGIA LLC

Practice address

1720 Lexington Rd
Athens, GA 30605-2330

Phone

(323) 419-3869

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Erik Tolonen

Title

VP

Phone

(323) 419-3869

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1427633262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PACIFIC COAST HWY APT 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484859",
            "telephone_number": "323-419-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 LEXINGTON RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052330",
            "telephone_number": "323-419-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIVING CENTER - GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "TOLONEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "323-419-3869"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millie S. Kelleher, LCSW
• Abigail Serwaa Mills-Annoh, M.D.
• Jenna Mills, RN
• Mark Gregory Mills, O.D.
• Cyril Mina
• Mindsprings Counseling and Consulting LLC
• Morgan Minut, PSYD
• Valerie Marie Miranda, LPC
• Jana Adams Mitcham, M.ED. SLP-CFY
• Mitchell Bridge Dental Association

• Adult Mental Health Clinic/Center in Athens, GA
• Providers in Athens, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.