NPI 1083339600 · live from the CMS NPI Registry
Mindfully, LLC
Counselor, Mental Health in Anchorage, AK. National Provider Identifier 1083339600, active.
NPI record
| NPI | 1083339600 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 310 K St Ste 200v, Anchorage, AK 99501 |
| Practice phone | 888-830-0347 |
| Mailing address | 1251 Nilles Rd Ste 5, Fairfield, OH 45014 |
| Enumerated | October 6, 2022 |
| Last updated | October 6, 2022 |
| Authorized official | Charles Roberts, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Case Manager/Care Coordinator | 171M00000X | — |
| Peer Specialist | 175T00000X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.