Provider Demographics
NPI:1942833181
Name:MINDFUL HEALTH COUNSELING & WELLNESS PLLC
Entity Type:Organization
Organization Name:MINDFUL HEALTH COUNSELING & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:B
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:701-751-0302
Mailing Address - Street 1:101 SLATE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-6171
Mailing Address - Country:US
Mailing Address - Phone:701-751-0302
Mailing Address - Fax:
Practice Address - Street 1:101 SLATE DR STE 2
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-6171
Practice Address - Country:US
Practice Address - Phone:701-425-5146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty