Provider Demographics
NPI:1962372508
Name:MINDFUL MOVES COUNSELING LLC
Entity type:Organization
Organization Name:MINDFUL MOVES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREASEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:319-499-8107
Mailing Address - Street 1:2900 WESTOWN PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1300
Mailing Address - Country:US
Mailing Address - Phone:319-499-8107
Mailing Address - Fax:515-347-9345
Practice Address - Street 1:2900 WESTOWN PKWY STE 220
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1300
Practice Address - Country:US
Practice Address - Phone:319-499-8107
Practice Address - Fax:515-347-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty