Healthcare Provider Details

I. General information

NPI: 1083384531
Provider Name (Legal Business Name): MINDFUL STEPS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 DONELSON PIKE STE 208
NASHVILLE TN
37214-2932
US

IV. Provider business mailing address

508 S STONEGATE DR
ANTIOCH TN
37013-1652
US

V. Phone/Fax

Practice location:
  • Phone: 866-783-7788
  • Fax:
Mailing address:
  • Phone: 615-497-1287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA MAYES
Title or Position: CEO/THERAPIST
Credential:
Phone: 615-497-1287