Provider Demographics
NPI:1154138576
Name:MINDFUL SPIRIT COUNSELING
Entity type:Organization
Organization Name:MINDFUL SPIRIT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:606-219-9100
Mailing Address - Street 1:124 EASTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40484-1025
Mailing Address - Country:US
Mailing Address - Phone:606-219-9100
Mailing Address - Fax:
Practice Address - Street 1:124 EASTWOOD DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:KY
Practice Address - Zip Code:40484-1025
Practice Address - Country:US
Practice Address - Phone:606-219-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty