Provider Demographics
NPI:1053516823
Name:MINDFUL HEALTH ORGANIZATION INC.
Entity type:Organization
Organization Name:MINDFUL HEALTH ORGANIZATION INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEC
Authorized Official - Suffix:
Authorized Official - Credentials:M,SW
Authorized Official - Phone:239-434-6596
Mailing Address - Street 1:3341 TAMIAMI TRL N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4165
Mailing Address - Country:US
Mailing Address - Phone:239-434-6596
Mailing Address - Fax:239-434-6590
Practice Address - Street 1:865 - 867 91ST AVENUE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-2426
Practice Address - Country:US
Practice Address - Phone:239-434-6596
Practice Address - Fax:239-434-6590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0811AD6189-00251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health