MINDFUL SOLUTION, LLC


Address: 1 Commerce Dr, Suite 205, Hattiesburg, MS 39402-1499
Phone: 6013360347

MINDFUL SOLUTION, LLC (NPI# 1225303068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225303068
Entity Type Organization
Organization Name MINDFUL SOLUTION, LLC
Practice Address 1 Commerce Dr
Suite 205
Hattiesburg
MS 39402-1499
Practice Telephone 6013360347
Mailing Telephone 6013360347
Enumeration Date 2012-03-13
Last Update Date 2013-07-25
Authorized Official Name DR. SIDDEEQAH DAAIYAH BILAL (PSYCHIATRIST)
Authorized Official Telephone 6012915951
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
21181 MS Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00178228 05
MS MEDICARE 302G704639 01

Office Location

Street Address 1 COMMERCE DR
SUITE 205
City HATTIESBURG
State MS
Zip Code 39402-1499

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972616076 Geralyn Datz Psychologist 1 Commerce Dr, Ste 205, Hattiesburg, MS 39402-1499 2006-08-16
1982981247 Scott Willoughby, Phd, LLC Psychologist 1 Commerce Dr, Suite 205, Hattiesburg, MS 39402-1499 2011-11-14
1487950564 Southern Behavioral Medicine Associates Pllc Psychologist 1 Commerce Dr, Ste 106, Hattiesburg, MS 39402-1499 2011-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1932710225 Jones County Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 2020-08-11
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1225678063 Connor Gregory Galloway Physical Therapist 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 2020-01-09
1487291456 Megan Marie Smith Social Worker 11 Woodstone Plaza, Hattiesburg, MS 39402 2019-12-09
1821656612 Julie Covington Mcmahan Dentist 100 Madison Plaza, Hattiesburg, MS 39402 2019-06-05
1295392074 Hattiesburg Clinic, Pa Preventive Medicine 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 2019-05-28
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1386101137 Courtney L Smith Behavior Technician 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 2019-02-28
1891269940 Amanda Laine Mcarthur-macisaac Registered Nurse 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 2019-01-11
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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447886502 Rico Smith Psychologist 314 E Green St, Macon, MS 39341-2850 2020-03-19
1588846281 Behavioral Medicine Clinic,pa Psychologist 5000 Hwy 39 N, Meridian, MS 39301-1021 2007-12-04
1922374057 Toni L Ladner Psychologist 1600 Broad Ave, Gulfport, MS 39501-3603 2012-03-22
1790087393 Jackson Psychiatry Group Psychologist 1855 Lakeland Dr, Suite P121, Jackson, MS 39216-4913 2010-12-02
1629378971 Pmt Clinic Psychologist 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 2010-11-02
1558580662 Beverly Tedford Psychologist 601 Foote St, Corinth, MS 38834-4834 2007-04-25
1386860898 Wellness Clinic, P.C. Psychologist 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672-6346 2007-04-17

Competitor

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City HATTIESBURG
Zip Code 39402

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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