Provider Demographics
NPI:1255207098
Name:MINDFUL COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:MINDFUL COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TYFFANY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LPC, LCPC, CEAP
Authorized Official - Phone:202-550-3333
Mailing Address - Street 1:4201 CATHEDRAL AVE NW APT 519W
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4920
Mailing Address - Country:US
Mailing Address - Phone:202-335-3487
Mailing Address - Fax:202-333-1367
Practice Address - Street 1:4201 CATHEDRAL AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4901
Practice Address - Country:US
Practice Address - Phone:202-335-3487
Practice Address - Fax:202-333-1367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty