Healthcare Provider Details

I. General information

NPI: 1710849864
Provider Name (Legal Business Name): MINDFUL SOLUTIONS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3745 CENTER POINT RD NE STE A
CEDAR RAPIDS IA
52402-2900
US

IV. Provider business mailing address

3745 CENTER POINT RD NE STE A
CEDAR RAPIDS IA
52402-2900
US

V. Phone/Fax

Practice location:
  • Phone: 319-214-0123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA A KROB
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 319-214-0123