Provider Demographics
NPI:1912762097
Name:MINDFUL CARING COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:MINDFUL CARING COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW-S
Authorized Official - Phone:205-266-6461
Mailing Address - Street 1:1085 BROOKSTONE LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-1364
Mailing Address - Country:US
Mailing Address - Phone:205-266-6461
Mailing Address - Fax:
Practice Address - Street 1:1085 BROOKSTONE LN
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-1364
Practice Address - Country:US
Practice Address - Phone:205-266-6461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)