Mind in Bloom Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MIND IN BLOOM COUNSELING LLC

Practice address

21 Eastbrook BND Ste 110
Peachtree City, GA 30269-1546

Phone

(770) 741-2184

Fax

(770) 215-0186

NPI assigned

Feb 24, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Landrum, LPCNPI 1851780118

Title

Owner

Phone

(770) 741-2184

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Marie Landrum, M.ED., LPC, NCC

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1851780118
  NPD Authorized official

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1295434652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTBROOK BND STE 110",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691546",
            "telephone_number": "770-741-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTBROOK BND STE 110",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691546",
            "telephone_number": "770-741-2184",
            "fax_number": "770-215-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND IN BLOOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-741-2184",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Mahaffey, D.M.D, P.C.
• Tenika H Miles, MS, RD, LD
• Brandi S Milford, MS, CRC, CCM
• Gracelynn Gene Miller, PT, DPT
• Heather Miller
• Kristin C Mink, PA-C
• Misfit Minds Therapy and Therapy Tools
• Diane Marie Mitchell, MS, NCC
• Jacob Anderson Mitchell
• Kevin S Mitchell, D.D.S.

• Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.