Mindfully Minded LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MINDFULLY MINDED LLC

Practice address

607 North Ave
Wakefield, MA 01880-1322

Phone

(781) 587-1726

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Dawn Lawler

Title

Off MGR

Phone

(800) 735-8951

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1497376891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOYLE ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801322",
            "telephone_number": "781-587-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY MINDED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "800-735-8951"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Miller
• Jean Catherine Mills, LICSW, M.ED, CAGS
• Di'Aja Claudia Milton
• Naw Rose Min
• Mind Over Matterx (Mind Over Matter Psychiatry)
• Rebecca Genevieve Mirick, LICSW
• Reem Mohamad, M.S., CCC-SLP
• Colleen Moloney, RPH
• Janet Monagle
• Lori Ann Montello, LICSW

• Counselor in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.