Provider Demographics
NPI:1467168005
Name:MINDFUL DISCOVERY THERAPEUTIC SOLUTIONS
Entity Type:Organization
Organization Name:MINDFUL DISCOVERY THERAPEUTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAIRMONT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:305-791-1585
Mailing Address - Street 1:1720 PEACHTREE ST NW STE 475
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2449
Mailing Address - Country:US
Mailing Address - Phone:305-317-5596
Mailing Address - Fax:786-431-1585
Practice Address - Street 1:1720 PEACHTREE ST NW STE 475
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2449
Practice Address - Country:US
Practice Address - Phone:305-317-5596
Practice Address - Fax:786-431-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty