MINDFUL WELLNESS COUNSELING, LLC. (NPI# 1487158200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487158200 |
| Entity Type | Organization |
| Organization Name | MINDFUL WELLNESS COUNSELING, LLC. |
| Other Organization Name | MINDFUL WELLNESS COUNSELING, LLC. |
| Practice Address |
12869 Rennoll Rd Glen Rock PA 17327-8506 |
| Practice Telephone | 3017929212 |
| Mailing Telephone | 3017929212 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | ZOE WINDHAM HUNTER TRAVERS (OWNER) |
| Authorized Official Telephone | 3017929212 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
15257 | MD | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CW019687 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mindful Wellness Counseling, LLC. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MINDFUL WELLNESS COUNSELING, LLC | 27 Hartford Turnpike Suite 201, Vernon, CT 06066 |
| Street Address |
12869 RENNOLL RD |
| City | GLEN ROCK |
| State | PA |
| Zip Code | 17327-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306192208 | Zoe Windham Hunter Travers | Counselor | 12869 Rennoll Rd, Glen Rock, PA 17327 | 2012-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386825644 | Dr. Wayne A. Mundis | Eyewear Supplier (Equipment, not the service) | 46 Water St, Glen Rock, PA 17327-1011 | 2007-11-15 |
| 1679612659 | David Robert Wells | Chiropractor | 40 Water St, Glen Rock, PA 17327-1011 | 2007-02-06 |
| 1891810040 | Southern York County Chiropractic | Chiropractor | 40 Water St, Glen Rock, PA 17327-1011 | 2007-03-20 |
| 1033199583 | Wayne Mundis | Optometrist | 46 Water St, Glen Rock, PA 17327-1011 | 2006-01-20 |
| 1972509891 | Glen Rock Emergency Medical Services Inc | Ambulance | 59 Water St, Glen Rock, PA 17327-1015 | 2005-06-24 |
| 1528061504 | Donald Michael Thompson | Dentist | 148 Manchester St, Glen Rock, PA 17327-1345 | 2005-05-24 |
| 1730746090 | Jonelle Lynn Lund | Registered Nurse | 4145 Bosley School Rd, Glen Rock, PA 17327-7713 | 2019-05-22 |
| 1598233348 | Tucker Daniel Devilbiss | Specialist/Technologist | 4449 Sunny Slope Rd, Glen Rock, PA 17327-7843 | 2018-11-09 |
| 1366847345 | Amanda Colvin | Counselor | 878 W Forrest Ave, Glen Rock, PA 17327-7913 | 2014-11-03 |
| 1265644660 | Deborah Kauffmann | Dietitian, Registered | 3373 Foxtail Ln, Glen Rock, PA 17327-8163 | 2007-05-06 |
| Find all providers in zip 17327 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679915 | Natick Counseling | Clinic/Center | 41 University Drive, Suite 428, Newtown, PA 18940 | 2020-11-04 |
| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1780291062 | Grasta Counseling Services, LLC | Clinic/Center | 321 Spruce St Ste 502, Scranton, PA 18503-1445 | 2020-09-30 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1033725569 | Deirdre Razzi, Lcsw | Clinic/Center | 207 W Plumstead Ave, Lansdowne, PA 19050-1120 | 2020-09-21 |
| 1760096267 | Gail R. Ludwig | Clinic/Center | 689 Oxford Blvd, Pittsburgh, PA 15243-1637 | 2020-09-02 |
| 1922611086 | K.a.d. Counseling, LLC | Clinic/Center | 32 S Broad St Fl 2nd, Nazareth, PA 18064-2117 | 2020-08-28 |
| 1861002461 | Maternal Wellness Center LLC | Clinic/Center | 67 Byberry Rd, Hatboro, PA 19040-3205 | 2020-08-07 |
| 1104435536 | Finding Peace of The Poconos LLC | Clinic/Center | 310 Miller Rd, Stroudsburg, PA 18360-8407 | 2020-07-31 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
| 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.