# MINDFUL JOURNEY COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003640814
- **Authorized official:** ROSALYN DENISE CAPPS LISW-CP (OWNER)
- **Authorized official phone:** (803) 629-1738

## Contact information

- **Practice address:** 7825 BROAD RIVER RD STE 200, IRMO, SC 29063-2375
- **Practice address phone:** (803) 262-0794
- **Mailing address:** 7825 BROAD RIVER RD STE 200, IRMO, SC 29063-2375
- **Mailing address phone:** (803) 262-0794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 08/28/2024