Provider Demographics
NPI:1518792126
Name:MINDFUL JOURNEY COUNSELING & SOLUTIONS LLC
Entity type:Organization
Organization Name:MINDFUL JOURNEY COUNSELING & SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEONDRION
Authorized Official - Middle Name:IVORY
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-929-1944
Mailing Address - Street 1:15418 STREETCAR CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8510
Mailing Address - Country:US
Mailing Address - Phone:248-929-1944
Mailing Address - Fax:
Practice Address - Street 1:15418 STREETCAR CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8510
Practice Address - Country:US
Practice Address - Phone:248-929-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINDFUL JOURNEY COUNSELING & SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-04
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health