Provider Demographics
NPI:1063890010
Name:THE MINDFUL PRACTICE
Entity type:Organization
Organization Name:THE MINDFUL PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BIRTH DOULA
Authorized Official - Prefix:MS
Authorized Official - First Name:LINZI
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHLECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-529-7773
Mailing Address - Street 1:8788 22ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-3714
Mailing Address - Country:US
Mailing Address - Phone:206-529-7773
Mailing Address - Fax:
Practice Address - Street 1:8788 22ND AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-3714
Practice Address - Country:US
Practice Address - Phone:206-529-7773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty