MINDFUL COUNSELING AND WELLNESS LLC (NPI# 1972094357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972094357 |
| Entity Type | Organization |
| Organization Name | MINDFUL COUNSELING AND WELLNESS LLC |
| Practice Address |
221 Devlin Ct Se Palm Bay FL 32909 |
| Mailing Address |
221 Devlin Ct Se Palm Bay FL 32909-2322 |
| Practice Telephone | 3218482215 |
| Mailing Telephone | 3218482215 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | REBECKA LYNN VAN HEDEN (PRESIDENT) |
| Authorized Official Telephone | 3218482215 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 W Fee Ave Ste C, Melbourne, FL 329014476 | 3215913949 | 3219513987 |
| Street Address |
221 DEVLIN CT SE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447349 | Sarah Nicosia | Registered Nurse | 2752 Palisades Dr, Palm Bay, FL 32909 | 2020-08-12 |
| 1447881297 | Shangri-la of Palm Bay Alf, LLC | Assisted Living Facility | 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 | 2020-01-30 |
| 1306348859 | Mallory Kathleen Herndon | Behavior Technician | 458 Barcelona Rd, Palm Bay, FL 32909 | 2018-03-01 |
| 1548786627 | Chotsani Merrill | Home Health Aide | 781 Davenport St Se, Palm Bay, FL 32909 | 2017-08-21 |
| 1639629538 | Maggie Cameron | Clinic/Center | 2511 Quentin Ave Ne, Palm Bay, FL 32909 | 2016-10-04 |
| 1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
| 1124407796 | Jorge Ortiz | Physical Therapist | 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 | 2015-05-28 |
| 1932506227 | Annalisa Tietjen I | Dental Hygienist | 714 Ave C, Fort Pierce, FL 32909 | 2014-12-02 |
| 1194147611 | Carl Glenmore Morrison Sr. | General Practice | 2125 Windbrook Drive, Palm Bay, FL 32909 | 2014-01-17 |
| 1366888422 | Kristie M Houle | Nurse Practitioner | 3238 Warsaw Ave, Palm Bay, FL 32909 | 2013-05-16 |
| Find all providers in zip 32909 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760041750 | Christy Taylor | Social Worker | 591 Narragansett St Ne, Palm Bay, FL 32907-1330 | 2019-06-12 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1114441060 | Breanne L Thomas | Social Worker | 1200 Alamanda Rd Ne, Palm Bay, FL 32905-4221 | 2017-08-02 |
| 1326573825 | Rose Toms Anderson | Social Worker | 290 Godfrey Rd Se, Palm Bay, FL 32909-8817 | 2017-04-22 |
| 1104289917 | Jessica Singh | Social Worker | 1314 Port Malabar Blvd Ne, Palm Bay, FL 32905-5238 | 2016-03-30 |
| 1194192989 | Cynthia Ann Koppler | Social Worker | 1825 Pace Dr Nw, Palm Bay, FL 32907-7095 | 2015-08-27 |
| 1184091001 | Laura Ciampa | Social Worker | 1028 Pine Creek Cir Ne, Palm Bay, FL 32905-4718 | 2015-08-26 |
| 1265877583 | Lisa Ann Eubank | Social Worker | 299 Mardi Gras Ave Nw, Palm Bay, FL 32907-2914 | 2013-04-30 |
| 1386908309 | Brooke Lee Lajoie | Social Worker | 609 Cedar Side Cir Ne, Palm Bay, FL 32905-5022 | 2012-06-25 |
| 1679703714 | Yolanda Ortiz | Social Worker | 1520 Bottlebrush Dr Ne, Ste 5, Palm Bay, FL 32905-3138 | 2009-07-23 |
| Find all providers in PALM BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.