Mindful Momentum, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL MOMENTUM, LLC

Practice address

313 Windell Dr
Fort Mill, SC 29708-6526

Phone

(803) 250-1375

NPI assigned

May 27, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Marla J. McKenzie, LPCA

Title

Professional Counselor-Associate

Phone

(803) 250-1375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1497548994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WINDELL DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086526",
            "telephone_number": "803-250-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WINDELL DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086526",
            "telephone_number": "803-250-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOMENTUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR-ASSOCIATE",
        "authorized_official_telephone_number": "803-250-1375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.