MINDFUL BEHAVIORAL INC (NPI# 1326423443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326423443 |
| Entity Type | Organization |
| Organization Name | MINDFUL BEHAVIORAL INC |
| Practice Address |
323 Mercy St Lake City SC 29560-2331 |
| Mailing Address |
2712 Middleburg Dr Suite 105 Columbia SC 29204-2415 |
| Practice Telephone | 8433744494 |
| Practice Fax Number | 8889748541 |
| Mailing Telephone | 8035691789 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MR. AKILA PROCTOR (CEO) |
| Authorized Official Telephone | 9196970767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 20152393 | SC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007573 | Mindful Behavioral Inc | Community/Behavioral Health | 210 W Harrison St, Dillon, SC 29536-3310 | 2014-06-10 |
| Street Address |
323 MERCY ST |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1275700601 | Meridian Behavioral Healthcare | Community/Behavioral Health | 173 Se Baya Dr, Lake City, FL 32025-5982 | 2008-05-14 |
| 1457703332 | Jameel Pearson | Community/Behavioral Health | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2016-07-05 |
| 1740672518 | Henry and Rilla White Youth Foundation Inc. | Community/Behavioral Health | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-03-03 |
| 1629245964 | Meridian Behaviral Healthcare | Community/Behavioral Health | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2008-05-15 |
| 1174641666 | Pee Dee Mental Health Center | Community/Behavioral Health | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1215541669 | Myndspace Mental Health Education & Consulting, LLC | Community/Behavioral Health | 111 Bantry Cir, Charleston, SC 29414-8089 | 2020-09-03 |
| 1861005431 | Legacy Counseling and Consulting of South Carolina | Community/Behavioral Health | 62 Bridgeway Dr, Laurens, SC 29360-7452 | 2020-08-24 |
| 1093325953 | B & H Consultants LLC | Community/Behavioral Health | 1965 Baggette Rd, Manning, SC 29102-7643 | 2020-08-05 |
| 1649896770 | New Wave Counseling Services, LLC | Community/Behavioral Health | 175 Guiomar Rd, Cordova, SC 29039-9344 | 2020-06-24 |
| 1871116517 | Transcendence Treatment Center, LLC | Community/Behavioral Health | 3900 Leeds Ave Ste 101, North Charleston, SC 29405-7461 | 2020-05-28 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1881224954 | Kimberly Lynette Merritts | Community/Behavioral Health | 1550 N Williston Rd, Florence, SC 29506-8744 | 2020-01-17 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| Find all providers with the same taxonomy | ||||
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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.