Healthcare Provider Details

I. General information

NPI: 1356012983
Provider Name (Legal Business Name): MINDZ MATTERS COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 CLIFFORD DR
MARTINSBURG WV
25404-0678
US

IV. Provider business mailing address

35 PINE VALLEY RD
PIEDMONT SC
29673-8118
US

V. Phone/Fax

Practice location:
  • Phone: 864-787-4799
  • Fax:
Mailing address:
  • Phone: 864-325-3451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. FELICIA S STEVENSON
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC, CAMS-II, CCTP
Phone: 864-325-3451