Healthcare Provider Details

I. General information

NPI: 1669274874
Provider Name (Legal Business Name): MINDFUL PATHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 THE PKWY STE K
GREER SC
29650-5205
US

IV. Provider business mailing address

105 SPARTAN CT
GREER SC
29650-3016
US

V. Phone/Fax

Practice location:
  • Phone: 914-804-7924
  • Fax:
Mailing address:
  • Phone: 914-804-7924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROBYN HAMRICK
Title or Position: CLINICAL SOCIAL WORKER
Credential: LISW-CP/S
Phone: 914-804-7924