| Mindful Wellness, Llc | |
|
700 S 8th Ave Brandon SD 57005-1772 | |
| (605) 582-3197 | |
| (605) 582-3197 |
| Full Name | Mindful Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 700 S 8th Ave, Brandon, South Dakota |
| Authorized Official Name and Position | Stacy Olson (OFFICE MANAGER) |
| Authorized Official Contact | 6055219671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Wellness, Llc 3 N Fairway Dr Sioux Falls SD 57110-6406 Ph: (605) 582-4722 | Mindful Wellness, Llc 700 S 8th Ave Brandon SD 57005-1772 Ph: (605) 582-3197 |
| NPI Number | 1538735857 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538735857 | NPI | - | NPPES |
| CC02638 | Other | MN | MN LPCC |
| LPC20303 | Other | SD | SD LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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