Provider Demographics
NPI:1659147015
Name:MINDFUL SOLUTIONS COUNSELING, LLC
Entity Type:Organization
Organization Name:MINDFUL SOLUTIONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:UDELHOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-642-2491
Mailing Address - Street 1:6861 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-9784
Mailing Address - Country:US
Mailing Address - Phone:608-642-2491
Mailing Address - Fax:
Practice Address - Street 1:6861 N 2ND ST
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-9784
Practice Address - Country:US
Practice Address - Phone:608-642-2491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty