MINDFUL MENTALITY LLC NPI 1871210260

NPI Information

  • NPI: 1871210260
  • Provider Name: MINDFUL MENTALITY, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 3633 WHEELER RD STE 320
    AUGUSTA, GA
    ZIP 30909
  • Phone: (068) 423-2797

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NPI Details

MINDFUL MENTALITY, LLC is a mental health counselor in Augusta, GA. MINDFUL MENTALITY, LLC NPI is 1871210260. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3633 WHEELER RD STE 320
AUGUSTA, GA
ZIP 30909-552
Phone: (068) 423-2797

The provider's authorized official is Stephanie Anne Northington-reissman .
The authorized official title is Owner And Psychologist and has the following contact phone number (630) 926-0577.

The enumeration date for this NPI number is 10/26/2022 and was last updated on 10/26/2022.

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
1103K00000XBehavior AnalystNo
2103T00000XPsychologistNo
3106E00000XAssistant Behavior AnalystNo
4106S00000XBehavior TechnicianNo
5101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11346811775OTHERGEORGIANPI
21457632150OTHERGEORGIANPI
315488319602OTHERGEORGIANPI
41528639952OTHERGEORGIANPI

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: 11/21/2025

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