# MINDFUL AUTHORITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1740106020
- **Authorized official:** JALISSA CHREE KELLY APRN (PMHNP-BC)
- **Authorized official phone:** (839) 207-0558

## Contact information

- **Practice address:** 1900 MAIN STREET 18TH FLOOR, \#2054, COLUMBIA, SC 29180
- **Practice address phone:** (839) 207-0558
- **Mailing address:** 1900 MAIN STREET 18TH FLOOR, \#2054, COLUMBIA, SC 29180
- **Mailing address phone:** (839) 207-0558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 06/29/2026