Organization Active NPI

Mindfully You Therapy Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crestview, FL
National Provider Identifier
1356008254
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFULLY YOU THERAPY SERVICES LLC
Practice address
114 Cedar Ave Ste 105
Crestview, FL 32536-2734
Phone
(850) 684-4651
NPI assigned
Nov 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Authorized official

Name
Lonelle Ordway, LCSWNPI 1205403052
Title
Therapist/Owner
Phone
(850) 499-2999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

114 Cedar Ave Ste 105
Crestview, FL 32536-2734

Mailing address

6137 Mockingbird Hill CT
Crestview, FL 32539-9504
Phone (850) 499-2999

National Provider Directory

National Provider Directory

Locations

114 Cedar Ave
Ste 105
Crestview, FL 32536
Phone (850) 684-4651

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1356008254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6137 MOCKINGBIRD HILL CT",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325399504",
            "telephone_number": "850-499-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CEDAR AVE STE 105",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362734",
            "telephone_number": "850-684-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY YOU THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "LONELLE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "850-499-2999",
        "authorized_official_credential": "LCSW"
    },
    "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": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.