Mindful Healing Transformations

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL HEALING TRANSFORMATIONS

Practice address

1210 Dry Hollow Rd Ste 6
The Dalles, OR 97058-3167

Phone

(541) 993-4668

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Frederick Granger Williams IV, LCSW

Title

Owner

Phone

(541) 993-4668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1336722016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 DRY HOLLOW RD STE 6",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583167",
            "telephone_number": "541-993-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DRY HOLLOW RD STE 6",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583167",
            "telephone_number": "541-993-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING TRANSFORMATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "GRANGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-993-4668",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J Miller, PT
• Kenneth V Miller, D.C.,P.C.
• Loghan Grace Miller
• Pamela Miller, PHD
• Victoria Mills
• Ann Marie Minihane, LCSW
• Marti L Mitchell, DO
• Mobility Systems LLC
• Cheryl Mojzer
• Shantill Lynn Moody

• Clinical Social Worker in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.