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MINDFUL LEGACY LLC
NPI 1013606326
Counselor in Fairfax, VA

Active since May 02, 2023
4229 JEFFERSON OAKS CIR APT B, FAIRFAX, VA 22033(703) 718-6413 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2023, May 2, 2023 (2 updates tracked since 2023).

About Mindful Legacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL LEGACY LLC (NPI 1013606326) is a healthcare organization registered as a counselor in Fairfax, Virginia and active in the NPI registry since May 2023. The organization lists Shekila S Melchior, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1013606326
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameMINDFUL LEGACY LLC
Location Address4229 JEFFERSON OAKS CIR APT BFairfax, VA 22033-4071
Mailing Address12587 Fair Lakes Cir # 406Fairfax, VA 22033-3822 · (336) 301-9765
Phone(703) 718-6413
Organization SubpartNo
Authorized OfficialShekila S MelchiorLicensed Professional Counselor · (336) 301-9765
Enumeration DateMay 2, 2023
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1013606326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4229 JEFFERSON OAKS CIR APT B, Fairfax, VA 22033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is MINDFUL LEGACY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1013606326, enumerated as an "organization" on May 02, 2023.

Where is the provider located?

The provider is located at 4229 JEFFERSON OAKS CIR APT B FAIRFAX, VA 22033 and the phone number is (703) 718-6413.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.