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

Mindfully, LLC

Organization Counselor · NPI 1376271981

Mindfully, LLC is a Counselor in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
8
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

10151 Deerwood Park Blvd Ste 250
Jacksonville, FL 32256-0566
Phone: (888) 830-0347
Fax: (513) 939-0310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Marriage & Family Therapist Taxonomy 106H00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1376271981
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMindfully, LLC
Authorized official Charles Roberts — Authorized Official · (888) 830-0347
NPI enumeratedAugust 11, 2022
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205

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