Provider Demographics
NPI:1760368856
Name:MINDFUL JOURNEYS PSYCHOTHERAPY WELLNESS PLLC
Entity type:Organization
Organization Name:MINDFUL JOURNEYS PSYCHOTHERAPY WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERARI
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-870-4623
Mailing Address - Street 1:1545 ARCHER RD APT 1D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-5818
Mailing Address - Country:US
Mailing Address - Phone:917-870-4623
Mailing Address - Fax:
Practice Address - Street 1:1545 ARCHER RD APT 1D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-5818
Practice Address - Country:US
Practice Address - Phone:917-870-4623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty