Provider Demographics
NPI:1023670379
Name:MINDFUL HEALING COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:MINDFUL HEALING COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BAND
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC, CRC, NCC
Authorized Official - Phone:703-203-2977
Mailing Address - Street 1:1124 E ST NE APT E
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6399
Mailing Address - Country:US
Mailing Address - Phone:703-203-2977
Mailing Address - Fax:
Practice Address - Street 1:20 F ST NW OFC 722
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-6700
Practice Address - Country:US
Practice Address - Phone:571-549-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-07
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)