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General NPI Number Information
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NPI Number | 1255207098
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Entity Type | Organization
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Legal Business Name | MINDFUL COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 4201 CATHEDRAL AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20016-4901
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Country | US
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Telephone | 202-335-3487
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Fax | 202-333-1367
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Provider Business Mailing Address
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Address Line | 4201 CATHEDRAL AVE NW APT 519W
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City | WASHINGTON
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State | DC
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Zip | 20016-4920
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Country | US
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Telephone | 202-335-3487
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Fax | 202-333-1367
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Authorized Official
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Title or Position | CEO
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Name | MS. TYFFANY LOUISE KIDD
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Credential | NCC, LPC, LCPC, CEAP
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Telephone | 202-550-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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