| Organization Name: | MINDFUL INNOVATIONS COUNSELING SERVICES, PLLC |
| NPI Number: | 1487892303 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GUILLERMO RODRIGUEZ (OWNER/DIRECTOR) |
| Mailing Address: | 8527 Ivory Crest Dr Converse |
| State: | TX US |
| Postal Code: | 781093288 |
| Phone Number: | 2107882762 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2009 |
| NPI Last Update Date: | 02/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |