Mindful Living LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5702 Issued in MD

Legal business name

MINDFUL LIVING LLC

Practice address

221 Maitland St
Suite 204
Bel Air, MD 21014-3939

Phone

(443) 417-5851

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Mina Reyes, LCPC

Title

Owner

Phone

(443) 417-5851

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1457713489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAITLAND ST",
            "address_2": "SUITE 204",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143939",
            "telephone_number": "443-417-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAITLAND ST",
            "address_2": "SUITE 204",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143939",
            "telephone_number": "443-417-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-417-5851",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Andrea Miller, LGPC
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• Nicole Miller
• Shon Miller, LCPC
• Jessica Mincey, PT, DPT
• Mindful Transformations, LLC
• Gina Marie Mininni, LCPC
• Adrienne Lynn Mink, FNP-C
• Rebecca Mink, MS, LCPC, NCC
• Minuteclinic LLC

• Professional Counselor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.