Mindful Solutions, LLC
Counselor, Professional in Jackson, MS. Organization (NPI-2).
NPI number1083176218
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1083176218
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindful Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2019
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 103K00000X | Behavior Analyst | – | – | |
| 102L00000X | Psychoanalyst | – | – |
Other names
- Mindful Solutions, LLC (Former Legal Business Name)
Practice location
4500 I 55 N Ste 208Jackson, MS 39211-5931
Phone 601-292-6260 · Fax 601-487-8115
Mailing address
Po Box 12195Jackson, MS 39236-2195
Phone 601-292-6260 · Fax 601-487-8115
Authorized official
Sherry Bouldin
Owner
6012926260
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