Provider Demographics
NPI:1124712328
Name:MINDFUL JOURNEY COUNSELING, INC.
Entity type:Organization
Organization Name:MINDFUL JOURNEY COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-657-3201
Mailing Address - Street 1:PO BOX 690729
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02269-0729
Mailing Address - Country:US
Mailing Address - Phone:617-657-3299
Mailing Address - Fax:
Practice Address - Street 1:1359 HANCOCK ST STE 7
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5108
Practice Address - Country:US
Practice Address - Phone:617-657-3201
Practice Address - Fax:617-507-8322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty