Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MINDFUL AWAKENING THERAPEUTIC SERVICES, PLLC
NPI 1780581090
Social Worker in Kelso, WA

Q: What is Mindful Awakening Therapeutic Services, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since October 21, 2026

506 CHERRY ST, KELSO, WA 98626(971) 203-6167 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mindful Awakening Therapeutic Services, Pllc NPPES

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

MINDFUL AWAKENING THERAPEUTIC SERVICES, PLLC (NPI 1780581090) is a healthcare organization registered as a social worker in Kelso, Washington and active in the NPI registry since October 2026. The organization lists Miranda Lynn Patrick, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1780581090

Entity TypeOrganization

Primary Taxonomy104100000X

Legal Business NameMINDFUL AWAKENING THERAPEUTIC SERVICES, PLLC

Location Address506 CHERRY STKelso, WA 98626-2554

Mailing Address506 Cherry StKelso, WA 98626-2554 · (971) 203-6167

Phone(971) 203-6167

Organization SubpartNo

Authorized OfficialMiranda Lynn PatrickSocial Worker · (971) 203-6167

Enumeration DateOctober 21, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1780581090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

506 CHERRY ST, Kelso, WA 98626

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Other Providers at the Same Location NPPES

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

MIRANDA LYNN PATRICK AS, BS, MSW

Social Worker

506 CHERRY ST
KELSO, WA 98626

Cowlitz County (971) 203-6167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Awakening Therapeutic Services, PLLC's NPI number?

The NPI number for Mindful Awakening Therapeutic Services, PLLC is 1780581090. It was assigned to this organization in the NPPES registry on October 21, 2026.

Where is Mindful Awakening Therapeutic Services, PLLC located?

Mindful Awakening Therapeutic Services, PLLC is located at 506 Cherry St, Kelso, WA 98626. The listed phone number is (971) 203-6167.

What is Mindful Awakening Therapeutic Services, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Mindful Awakening Therapeutic Services, PLLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.