Healthcare Provider Details

I. General information

NPI: 1225827405
Provider Name (Legal Business Name): SHIFTING MINDSETS CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 GRAND AVE
SCHOFIELD WI
54476-1086
US

IV. Provider business mailing address

718 GRAND AVE
SCHOFIELD WI
54476-1086
US

V. Phone/Fax

Practice location:
  • Phone: 715-297-8370
  • Fax:
Mailing address:
  • Phone: 715-297-8370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER LEIGH ZYNDA
Title or Position: OWNER/SERVICE PROVIDER
Credential: ED.D.
Phone: 715-297-8370