MISSION MIND WELLNESS, LLC - NPI 1144937541 - Social Worker in Williamsburg, VA

Q: What is Mission Mind Wellness, LLC's NPI number?

The NPI number for Mission Mind Wellness, LLC is 1144937541. It was assigned to this organization in the NPPES registry on November 4, 2022.

Q: What is Mission Mind Wellness, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Mission Mind Wellness, Llc NPPES

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

MISSION MIND WELLNESS, LLC (NPI 1144937541) is a healthcare organization registered as a clinical in Williamsburg, Virginia and active in the NPI registry since November 2022. The organization lists Ryan Moore, Co-owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1144937541

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMISSION MIND WELLNESS, LLC

Location Address1318 JAMESTOWN RD STE 102Williamsburg, VA 23185-3382

Mailing Address1318 Jamestown Rd Ste 102Williamsburg, VA 23185-3382 · (757) 231-5576

Phone(757) 231-5576

Organization SubpartNo

Authorized OfficialRyan MooreCo-owner/therapist · (757) 231-5576

Enumeration DateNovember 4, 2022

Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1144937541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1318 JAMESTOWN RD STE 102, Williamsburg, VA 23185

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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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTINE FERGUSON M.ED

Counselor (Professional)