Healthcare Provider Details

I. General information

NPI: 1427961937
Provider Name (Legal Business Name): MIND MAP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 HUBER PARK CT STE 121
WELDON SPRING MO
63304-8601
US

IV. Provider business mailing address

520 HUBER PARK CT STE 121
WELDON SPRING MO
63304-8601
US

V. Phone/Fax

Practice location:
  • Phone: 636-248-3107
  • Fax:
Mailing address:
  • Phone:
  • 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: RABIA SHOAIB
Title or Position: OUT PATIENT THERAPIST
Credential: MED, LPC
Phone: 636-248-3107