| Mindful Solutions Counseling | |
|
6777 Camp Bowie Blvd Ste 229 Fort Worth TX 76116-7157 | |
| (682) 703-1311 | |
| (817) 735-4688 |
| Full Name | Mindful Solutions Counseling |
|---|---|
| Speciality | Counselor |
| Location | 6777 Camp Bowie Blvd Ste 229, Fort Worth, Texas |
| Authorized Official Name and Position | Heather Dawn Perez Trowbridge (OWNER) |
| Authorized Official Contact | 6822311456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Solutions Counseling 6777 Camp Bowie Blvd Ste 229 Fort Worth TX 76116-7157 Ph: (682) 703-1311 | Mindful Solutions Counseling 6777 Camp Bowie Blvd Ste 229 Fort Worth TX 76116-7157 Ph: (682) 703-1311 |
| NPI Number | 1851883961 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 01/23/2024 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 9133568488 |
|---|---|
| Medicare Enrollment ID | O20240418003477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851883961 | NPI | - | NPPES |
| 371098001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 71867 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Heather Dawn Perez Trowbridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396102356 PECOS PAC ID: 0042659393 Enrollment ID: I20240418003900 |
| Provider Name | Samuel Adam Mitton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598259558 PECOS PAC ID: 6709228182 Enrollment ID: I20240530003313 |
| Provider Name | Marissa R Erickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568179265 PECOS PAC ID: 0941642342 Enrollment ID: I20240530004029 |
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