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MINDFUL SOLUTIONS LLC NPI 1083176218


NPI Information

NPI: 1083176218
Provider Name: MINDFUL SOLUTIONS, LLC

Former Legal Business Name: MINDFUL SOLUTIONS, LLC

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
4500 I 55 N STE 208
JACKSON, MS
ZIP 39211
Phone: (601) 292-6260
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MINDFUL SOLUTIONS, LLC is a counselor in Jackson, MS. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MINDFUL SOLUTIONS, LLC NPI is 1083176218. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mindful Solutions, Llc.

The provider's business location address is:

4500 I 55 N STE 208
JACKSON, MS
ZIP 39211-931
Phone: (601) 292-6260
Fax: (601) 487-8115

The provider's authorized official is Sherry Bouldin .
The authorized official title is Owner and has the following contact phone number (601) 292-6260.

The enumeration date for this NPI number is 4/5/2019 and was last updated on 7/6/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4102L00000XPsychoanalystNo
5103K00000XBehavior AnalystNo
6101Y00000XCounselorYes

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

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