Provider Demographics
NPI:1285443770
Name:MINDSET COUNSELING AND COACHING, LLC
Entity type:Organization
Organization Name:MINDSET COUNSELING AND COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:FIABANE
Authorized Official - Last Name:MOURA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:854-855-2167
Mailing Address - Street 1:105 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6078
Mailing Address - Country:US
Mailing Address - Phone:854-855-2167
Mailing Address - Fax:
Practice Address - Street 1:105 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6078
Practice Address - Country:US
Practice Address - Phone:854-855-2167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty