Mindful Change, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL CHANGE, LLC

Practice address

403 Brian Dr
West Monroe, LA 71291-9466

Phone

(318) 805-3433

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Sarah Dean Roy, LCSW

Title

Owner of Mindful Change, LLC

Phone

(318) 805-3433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1346909967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BRIAN DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919466",
            "telephone_number": "318-805-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BRIAN DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919466",
            "telephone_number": "318-805-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER OF MINDFUL CHANGE, LLC",
        "authorized_official_telephone_number": "318-805-3433",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nathan Milam, LAC
• Terrance Miley
• Brian Allen Miller, PHARM.D.
• Charles Joseph Miller, RPH
• Jonann Cannon Milner
• Sarah Minter, PT, DPT
• Kelley Gatewood Mitchell, RPH
• Keri Lynn Mitchell, MA, CCC-SLP
• MLDP of Texas LP
• Mock'S Pharmacy and Gifts, Inc.

• Clinical Social Worker in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.