Healthcare Provider Details

I. General information

NPI: 1619804820
Provider Name (Legal Business Name): MINDFUL HEALING AND BEHAVIORAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 WASHINGTON SQ
WASHINGTON COURT HOUSE OH
43160-1747
US

IV. Provider business mailing address

36 WASHINGTON SQ
WASHINGTON COURT HOUSE OH
43160-1747
US

V. Phone/Fax

Practice location:
  • Phone: 614-204-2196
  • Fax: 740-910-4684
Mailing address:
  • Phone: 614-204-2196
  • Fax: 740-910-4684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SANDRA LYNN BACH
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPCC, LICDC
Phone: 614-204-2196