Mindful Solutions Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 10505 Issued in FL

Legal business name

MINDFUL SOLUTIONS COUNSELING SERVICES

Practice address

1633 Village Center Dr
Suite 306
Lakeland, FL 33803-2870

Phone

(860) 303-6827

Fax

(863) 937-4304

NPI assigned

May 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David Andrew Hernandez, L.C.S.W.

Title

Therapist

Phone

(860) 303-6827

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1336408731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 VILLAGE CENTER DR",
            "address_2": "SUITE 306",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032870",
            "telephone_number": "860-303-6827",
            "fax_number": "860-303-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 VILLAGE CENTER DR",
            "address_2": "SUITE 306",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032870",
            "telephone_number": "860-303-6827",
            "fax_number": "863-937-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SOLUTIONS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "860-303-6827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.