Provider Demographics
NPI:1457045361
Name:MINDFUL PRESENCE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:MINDFUL PRESENCE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-256-3910
Mailing Address - Street 1:325 ROCKY SLOPE RD
Mailing Address - Street 2:SUITE 104 #223
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:843-256-3910
Mailing Address - Fax:
Practice Address - Street 1:325 ROCKY SLOPE RD
Practice Address - Street 2:SUITE 104 #223
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:843-256-3910
Practice Address - Fax:864-818-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty