Healthcare Provider Details

I. General information

NPI: 1376117838
Provider Name (Legal Business Name): MINDFUL MOVEMENTS COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2021
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26403 OAK RIDGE DR
SPRING TX
77380-1964
US

IV. Provider business mailing address

26403 OAK RIDGE DR
SPRING TX
77380-1964
US

V. Phone/Fax

Practice location:
  • Phone: 409-332-7580
  • Fax:
Mailing address:
  • Phone: 409-332-7580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MIKAYLA WILLIAMS
Title or Position: COUNSELOR / OWNER
Credential: MA, LPC-S, NCC
Phone: 409-332-7580