Organization Active NPI

Mindful Life Company LTD LLP

  • Professional Counselor
  • Georgetown, TX
National Provider Identifier
1932837747
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL LIFE COMPANY LTD LLP
Practice address
2913 Williams Dr Ste 220
Georgetown, TX 78628-2739
Phone
(254) 290-8577
NPI assigned
Aug 10, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Mykia Hollis-Griffith, MANPI 1871174250
Title
Owner
Phone
(254) 290-8577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2913 Williams Dr Ste 220
Georgetown, TX 78628-2739

Mailing address

400 W Jasper Dr Ste 202
Killeen, TX 76542-1322
Phone (254) 251-8750

Other practice location 1

400 W Jasper Dr Ste 202
Killeen, TX 76542-1322
Phone (254) 290-8577

National Provider Directory

National Provider Directory

Locations

400 W Jasper Dr
Ste 202
Killeen, TX 76542
Phone (254) 290-8577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1932837747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W JASPER DR STE 202",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421322",
            "telephone_number": "254-251-8750",
            "fax_number": "512-686-1935"
        },
        {
            "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": "254-290-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Jasper Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765421322",
            "country_code": "US",
            "telephone_number": "254-290-8577",
            "fax_number": "512-686-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL LIFE COMPANY LTD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLIS-GRIFFITH",
        "authorized_official_first_name": "MYKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-290-8577",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.