Healthcare Provider Details

I. General information

NPI: 1538087101
Provider Name (Legal Business Name): MINDFUL HEALING HOLISTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 ORILLA DEL MAR DR
SANTA BARBARA CA
93103
US

IV. Provider business mailing address

133 E DE LA GUERRA ST # 86
SANTA BARBARA CA
93101-2228
US

V. Phone/Fax

Practice location:
  • Phone: 386-848-0266
  • Fax:
Mailing address:
  • Phone: 386-848-0266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name: DR. VIRGINIA BEAUFORT
Title or Position: MANAGING DIRECTOR
Credential: PHD
Phone: 386-848-0266