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

Mindful Legacy LLC

Organization Counselor · NPI 1013606326

Mindful Legacy LLC is a Counselor in Fairfax, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4229 Jefferson Oaks Cir Apt B
Fairfax, VA 22033-4071
Phone: (703) 718-6413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1013606326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shekila Melchior — Licensed Professional Counselor · (336) 301-9765
NPI enumeratedMay 2, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023
Mailing address12587 Fair Lakes Cir # 406, Fairfax, VA 22033-3822

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