Mindful Alternatives, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004106 Issued in GA

Legal business name

MINDFUL ALTERNATIVES, INC.

Practice address

370 Lanier Ave E
Fayetteville, GA 30214-2237

Phone

(678) 884-4011

Fax

(678) 263-8511

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Rae Sansom Coley, LCSWNPI 1326281544

Title

Licensed Clinical Social Worker

Phone

(678) 884-4011

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.

• Rae Sansom Coley, LCSW

  • Clinical Social Worker
  • Fayetteville, GA
  • NPI 1326281544
  NPD (past) Authorized official

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1457690760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LANIER AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142237",
            "telephone_number": "678-884-4011",
            "fax_number": "678-263-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LANIER AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142237",
            "telephone_number": "678-884-4011",
            "fax_number": "678-263-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "SANSOM",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "678-884-4011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Miller, FNP-C
• Robin A. Miller, OT
• Corey Milsap, PSYD, LPC
• Mimi Cares Personal Care LLC
• Mind-Head Solutions, LLC
• Mindfull Strategies, LLC
• Mindset Healthcare, PC
• Beverlyn Ming
• April Jordan Mitchell, FNP-C
• Barbara Grady Mitchell, DDS

• Clinical Social Worker in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.