Provider Demographics
NPI:1851141865
Name:MINDFUL JOURNEY COUNSELING AND WELLNESS
Entity Type:Organization
Organization Name:MINDFUL JOURNEY COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCHI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-238-0893
Mailing Address - Street 1:921 S MAIN ST # 7140
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3726
Mailing Address - Country:US
Mailing Address - Phone:435-238-0893
Mailing Address - Fax:
Practice Address - Street 1:1375 S 860 W
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3708
Practice Address - Country:US
Practice Address - Phone:435-238-0893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)