Provider Demographics
NPI:1720521123
Name:MINDFUL CHANGES COUNSELING, INC.
Entity Type:Organization
Organization Name:MINDFUL CHANGES COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:IMEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-823-6888
Mailing Address - Street 1:435 W CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17551-9519
Mailing Address - Country:US
Mailing Address - Phone:717-575-0179
Mailing Address - Fax:
Practice Address - Street 1:2938 COLUMBIA AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7000
Practice Address - Country:US
Practice Address - Phone:717-823-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007769251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health