Provider Demographics
NPI:1700431897
Name:MINDFUL TRANSITIONS LTD
Entity type:Organization
Organization Name:MINDFUL TRANSITIONS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND LCSW
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-305-5260
Mailing Address - Street 1:1913 SHEELY DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1939
Mailing Address - Country:US
Mailing Address - Phone:970-817-3178
Mailing Address - Fax:
Practice Address - Street 1:420 S HOWES ST # B100
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2871
Practice Address - Country:US
Practice Address - Phone:970-305-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health