Provider Demographics
NPI:1801159975
Name:COUNSEL THE MIND, LLC
Entity type:Organization
Organization Name:COUNSEL THE MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWNRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:314-496-4369
Mailing Address - Street 1:8361 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-2819
Mailing Address - Country:US
Mailing Address - Phone:314-496-4369
Mailing Address - Fax:916-560-6623
Practice Address - Street 1:34 N BRENTWOOD BLVD
Practice Address - Street 2:SUITE 14
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3746
Practice Address - Country:US
Practice Address - Phone:314-827-5527
Practice Address - Fax:916-560-6623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008009368101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty