Mindful Care Counseling and Consulting LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY004164 Issued in GA

Legal business name

MINDFUL CARE COUNSELING AND CONSULTING LLC

Practice address

209B Swanton Way Ste 204
Decatur, GA 30030-3271

Phone

(404) 806-9932

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Aisha Denise Baker, PHD

Title

Psychologist

Phone

(404) 806-9932

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1982182408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 COZY COVE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452274",
            "telephone_number": "601-400-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209B SWANTON WAY STE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303271",
            "telephone_number": "404-806-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CARE COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-806-9932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY004164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.