Provider Demographics
NPI:1932060159
Name:ONE BREATH MINDSET, LLC
Entity type:Organization
Organization Name:ONE BREATH MINDSET, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LILLY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:573-425-5105
Mailing Address - Street 1:9438 HIGHWAY C
Mailing Address - Street 2:
Mailing Address - City:HUNNEWELL
Mailing Address - State:MO
Mailing Address - Zip Code:63443-3038
Mailing Address - Country:US
Mailing Address - Phone:573-425-5105
Mailing Address - Fax:
Practice Address - Street 1:100 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63469-1300
Practice Address - Country:US
Practice Address - Phone:573-425-5105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty