Provider Demographics
NPI:1245021146
Name:MINDFUL JOURNEY: MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:MINDFUL JOURNEY: MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:AEMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BETHON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-306-2115
Mailing Address - Street 1:177 MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6917
Mailing Address - Country:US
Mailing Address - Phone:516-360-0945
Mailing Address - Fax:
Practice Address - Street 1:177 MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6917
Practice Address - Country:US
Practice Address - Phone:516-360-0945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)