# MINDFUL THERAPEUTICS, LLC

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

## Provider details

- **NPI number:** 1821773615
- **Authorized official:** KELLY MONIQUE TURNER WOOLFORD LCPC (OWNER)
- **Authorized official phone:** (410) 997-5100

## Contact information

- **Practice address:** 5310 OLD COURT RD STE 204, RANDALLSTOWN, MD 21133-6201
- **Practice address phone:** (410) 977-5100
- **Mailing address:** 4104 KIWI CT, RANDALLSTOWN, MD 21133-4076
- **Mailing address phone:** (410) 977-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 06/19/2023