Provider Demographics
NPI:1629615802
Name:MINDFUL WELLNESS COUNSELING, PLLC
Entity Type:Organization
Organization Name:MINDFUL WELLNESS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MONIC
Authorized Official - Last Name:SWAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, RPT
Authorized Official - Phone:915-588-1252
Mailing Address - Street 1:710 N CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5202
Mailing Address - Country:US
Mailing Address - Phone:915-588-1252
Mailing Address - Fax:915-248-3285
Practice Address - Street 1:710 N CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5202
Practice Address - Country:US
Practice Address - Phone:915-588-1252
Practice Address - Fax:915-248-3285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty