Healthcare Provider Details

I. General information

NPI: 1730066945
Provider Name (Legal Business Name): MINDFUL CONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 N MAYSVILLE ST
MOUNT STERLING KY
40353-1471
US

IV. Provider business mailing address

119 MEADOW VIEW DR
MOUNT STERLING KY
40353-8401
US

V. Phone/Fax

Practice location:
  • Phone: 502-251-1586
  • Fax:
Mailing address:
  • Phone: 859-585-3005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE ANN FARRIS
Title or Position: LPCC & OWNER
Credential:
Phone: 502-251-1586