Organization Name: | MINDFUL COUNSELING |
NPI Number: | 1972978245 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGEL KAY KOENIG (OWNER/COUNSELOR) |
Mailing Address: | 2648 Fm 407 E 215-f Bartonville |
State: | TX US |
Postal Code: | 762267006 |
Phone Number: | 4698317452 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2015 |
NPI Last Update Date: | 12/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 69037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |