Provider Demographics
NPI:1962131433
Name:A MINDFUL LIFE COUNSELING SERVICES
Entity type:Organization
Organization Name:A MINDFUL LIFE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARHURST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, RPT-S
Authorized Official - Phone:435-592-4030
Mailing Address - Street 1:50 COLUMBIA WAY
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-2850
Mailing Address - Country:US
Mailing Address - Phone:435-592-4030
Mailing Address - Fax:
Practice Address - Street 1:210 N 300 W STE 100
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-3591
Practice Address - Country:US
Practice Address - Phone:435-592-4030
Practice Address - Fax:435-238-4511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty