Mindfit LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDFIT LLC

Practice address

3696 Waterlick Rd
Forest, VA 24551-1565

Phone

(434) 665-2745

NPI assigned

Oct 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erin Mace

Title

Owner

Phone

(434) 665-2745

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1124744826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 WATERLICK RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511565",
            "telephone_number": "434-665-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3696 WATERLICK RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511565",
            "telephone_number": "434-665-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-665-2745"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Mikkelson, LMFT
• Jennifer Miller
• Karolyn Miller, PA-C
• Katelyn Miller
• Lacey Miller
• Ryan P Minervini
• Hope Amanda Moffa, AU.D.
• Jennifer Mohan, MS CCC SLP
• Melanie Monsein, CCC-SLP
• Sara Allison Montgomery, BCTMB, LMT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Forest, VA
• Providers in Forest, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.