Healthcare Provider Details

I. General information

NPI: 1205761673
Provider Name (Legal Business Name): MINDFUL PATH COUNSELING & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 PIGEON ROOST RD
RUSH KY
41168-8132
US

IV. Provider business mailing address

2901 PIGEON ROOST RD
RUSH KY
41168-8132
US

V. Phone/Fax

Practice location:
  • Phone: 606-225-0483
  • Fax:
Mailing address:
  • Phone: 606-225-0483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MICHAELA BAYS
Title or Position: OWNER
Credential:
Phone: 606-225-0483