Organization Active NPI

Mindful Moments LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gulfport, MS
National Provider Identifier
1902640931
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFUL MOMENTS LLC
Doing business as
Mindful Moments LLC
Practice address
4500 Wren St
Gulfport, MS 39501-7253
Phone
(702) 574-5475
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Starla Howerton
Title
Owner
Phone
(702) 574-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4500 Wren St
Gulfport, MS 39501-7253

Mailing address

4500 Wren St
Gulfport, MS 39501-7253
Phone (702) 574-5475

Other names 1

  • Mindful Moments LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1902640931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WREN ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395017253",
            "telephone_number": "702-574-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 WREN ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395017253",
            "telephone_number": "702-574-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "HOWERTON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-574-5475"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Moments LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.