Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mindful Impact Counseling and Coaching

Organization Clinical Social Worker · NPI 1043040207

Mindful Impact Counseling and Coaching is a Clinical Social Worker in Lake City, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

324 NW Meadowlark Dr
Lake City, FL 32055-9509
Phone: (386) 406-5251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1043040207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nimota (Remi) Walker — Ms. · (386) 406-5251
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address118 Ohio Ave N Ste A Pmb 1052, Pmb 1052, Live Oak, FL 32064

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