Mindful Life Company, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDFUL LIFE COMPANY, PLLC

Practice address

2913 Williams Dr Ste 220
Georgetown, TX 78628-2739

Phone

(254) 251-8750

NPI assigned

Apr 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Mykia Hollis-Griffith, MA

Title

Member

Phone

(254) 251-8750

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634342400000",
    "number": "1669053047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 JOVANA",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 WILLIAMS DR STE 220",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282739",
            "telephone_number": "254-251-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6411 Jovana",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765425896",
            "country_code": "US",
            "telephone_number": "254-251-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL LIFE COMPANY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A",
        "authorized_official_last_name": "HOLLIS-GRIFFITH",
        "authorized_official_first_name": "MYKIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-251-8750",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Aileen Miller, N.P.
• Deidra Milling, M.ED. DIAGNOSTICIAN
• Carol A Minchew, COTA
• Mindful Awakenings Counseling Services PLLC
• Mindful Life Company LTD LLP
• Mindful Vibes PLLC
• Gladys Irene Minor, M.D.
• Mira Healthcare of Texas PLLC
• Jeremy Nathan Mirken, M.S., SLP
• Dewayne Mark Mirtsching, DC

• Professional Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.