NPI Profile for MINDFUL GROWTH LLC in TERRE HAUTE, IN.
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Health Service |
261QH0100X | |||
Mental Health |
101YM0800X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Primary Care |
261QP2300X | |||
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1093431710 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/14/2022 | |
| Last updated | 11/24/2025 - About 7 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MINDFUL GROWTH LLC
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