Provider Demographics
NPI:1194577643
Name:MINDFUL BEGINNINGS COUNSELING
Entity type:Organization
Organization Name:MINDFUL BEGINNINGS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ASHELY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SKADSEM
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:218-260-6332
Mailing Address - Street 1:5471 JEAN DULUTH RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55803-9749
Mailing Address - Country:US
Mailing Address - Phone:218-260-6332
Mailing Address - Fax:218-219-9739
Practice Address - Street 1:5471 JEAN DULUTH RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55803-9749
Practice Address - Country:US
Practice Address - Phone:218-260-6332
Practice Address - Fax:218-219-9739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty