Healthcare Provider Details

I. General information

NPI: 1073145868
Provider Name (Legal Business Name): MINDFIT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10822 NORBOURNE FARM RD
UPPER MARLBORO MD
20772-4699
US

IV. Provider business mailing address

PO BOX 915
BOWIE MD
20718-0915
US

V. Phone/Fax

Practice location:
  • Phone: 301-818-2032
  • Fax:
Mailing address:
  • Phone: 301-818-2032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RASHIDA ELLIS WINSLOW
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LCPC
Phone: 301-818-2032