Healthcare Provider Details

I. General information

NPI: 1174434963
Provider Name (Legal Business Name): MINDFUL EXPRESSIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 S COUNTRY CLUB DR STE A
JEFFERSON CITY MO
65109-4510
US

IV. Provider business mailing address

3220 MICHAELS RD
JEFFERSON CITY MO
65101-9799
US

V. Phone/Fax

Practice location:
  • Phone: 573-291-7772
  • Fax:
Mailing address:
  • Phone: 573-291-7772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTIE MARIE HALE
Title or Position: OWNER
Credential: LMFT
Phone: 573-291-7772