MINDFUL HEALING THERAPY AND WELLNESS LLC NPI 1366968554

NPI Information

NPI: 1366968554
Provider Name: MINDFUL HEALING THERAPY AND WELLNESS, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
400 E DR MARTIN LUTHER KING JR BLVD STE 101
TAMPA, FL
ZIP 33603
Phone: (813) 236-4673
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MINDFUL HEALING THERAPY AND WELLNESS, LLC is a mental health counselor in Tampa, FL. MINDFUL HEALING THERAPY AND WELLNESS, LLC NPI is 1366968554. The provider is registered as an organization entity type.

The provider's business location address is:

400 E DR MARTIN LUTHER KING JR BLVD STE 101
TAMPA, FL
ZIP 33603-866
Phone: (813) 236-4673
Fax: (813) 236-4689

The provider's authorized official is Jessica R Greaves .
The authorized official title is Owner, Psychotherapist and has the following contact phone number (813) 505-6867.

The enumeration date for this NPI number is 8/18/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	SW14306	FLORIDA	No
2	261QM0850X	Clinic/Center	Adult Mental Health	SW14306	FLORIDA	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	SW14306	FLORIDA	No
4	101YM0800X	Counselor	Mental Health	SW14306	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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