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

Mindful Medicine Counseling Center LLC

Organization Pediatrics Physician · NPI 1912693912

Mindful Medicine Counseling Center LLC is a Pediatrics Physician in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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

10365 Hood Rd S Ste 204
Jacksonville, FL 32257-3261
Phone: (217) 480-7298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1912693912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roman Criollo — Coo · (217) 480-7298
NPI enumeratedApril 12, 2023
Last updated in NPPESNovember 11, 2023
Certification dateNovember 11, 2023
Mailing address3914 Dylan Ct, Jacksonville, FL 32223-2707

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