Mindset Development Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDSET DEVELOPMENT CENTER

Practice address

6726 Tara Blvd Apt 15G
Jonesboro, GA 30236-1427

Phone

(404) 510-9660

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Glenda Carter, LPCNPI 1952093304

Title

Owner

Phone

(404) 510-9660

Specialties & licenses 1

Addresses

Practitioners 1

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

• Glenda Carter, LPC

  • Counselor
  • Jonesboro, GA
  • NPI 1952093304
  NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1619660685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N MAIN ST UNIT 1355",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363298",
            "telephone_number": "404-510-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 TARA BLVD APT 15G",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361427",
            "telephone_number": "404-510-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-510-9660",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Yvette Miller, OWNER
• Jeffrey Milligan
• Millren Enterprise, LLC
• Antoinette Milton-Johnson, MSW
• Wakako Minamotowood, MA, S/T
• Chiketta Mitchell, RN, AGNP
• Sharon C Mitchell, LDO
• Tarissa Mitchell, M.D.
• Benedeth Uju Moh
• Sarfraz Ahmad Mohamed, MD

• Professional Counselor in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.