# MINDFUL COLLECTIVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mindful Collective
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841037959
- **Authorized official:** BAILEY MITCHELL LCMFT-S (OWNER/THERAPIST)
- **Authorized official phone:** (316) 258-0422

## Contact information

- **Practice address:** 218 W GREENWAY ST, DERBY, KS 67037-2641
- **Practice address phone:** (316) 258-0422
- **Mailing address:** 3800 S 127TH ST E, DERBY, KS 67037-8604
- **Mailing address phone:** (316) 258-0422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/15/2024
- **Last updated:** 05/12/2025
