Mindful Healing Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL HEALING THERAPY LLC

Practice address

Krokuslaan 17
Tervuren, BELGIUM 03080
BE

Phone

(803) 317-2264

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Harvey, MSWNPI 1982122156

Title

Lisw-CP

Phone

(803) 317-2264

Specialties & licenses 1

Addresses

Other names 1

• Mindful Healing Therapy LLC Doing business as

Practitioners 1

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

• Stephanie Elizabeth Harvey

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1982122156
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1770366239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 DEVINE ST STE M",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053605",
            "telephone_number": "803-317-2264"
        },
        {
            "country_code": "BE",
            "country_name": "Belgium",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "KROKUSLAAN 17",
            "city": "TERVUREN",
            "state": "BELGIUM",
            "postal_code": "03080",
            "telephone_number": "803-317-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "LISW-CP",
        "authorized_official_telephone_number": "803-317-2264",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Healing Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.