Provider Demographics
NPI:1982320065
Name:MINDFUL OUTLOOK COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:MINDFUL OUTLOOK COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:HILERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-796-0662
Mailing Address - Street 1:1601 WILLOW LAWN DR STE 304
Mailing Address - Street 2:THE SHOPS AT WILLOW LAWN #1407
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 HILL TOP DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4513
Practice Address - Country:US
Practice Address - Phone:571-228-0004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health