MINDFUL BEHAVIORAL, INC
NPI 1811236342
Community/Behavioral Health in Columbia, SC

Q: What is Mindful Behavioral, Inc's NPI number?

The NPI number for Mindful Behavioral, Inc is 1811236342. It was assigned to this organization in the NPPES registry on February 4, 2013.

Q: What is Mindful Behavioral, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 04, 2013

2712 MIDDLEBURG DR, SUITE 105, COLUMBIA, SC 29204(803) 569-1789 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mindful Behavioral, Inc NPPES

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

MINDFUL BEHAVIORAL, INC (NPI 1811236342) is a healthcare organization registered as a community/behavioral health in Columbia, South Carolina and active in the NPI registry since February 2013. The organization lists Jomoyatta Akila Proctor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811236342

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMINDFUL BEHAVIORAL, INC

Location Address2712 MIDDLEBURG DR, SUITE 105Columbia, SC 29204-2415

Mailing Address2712 Middleburg Dr, Suite 105Columbia, SC 29204-2415 · (803) 569-1789

Phone(803) 569-1789

Organization SubpartNo

Authorized OfficialJomoyatta Akila ProctorCeo · (919) 697-0767

Enumeration DateFebruary 4, 2013

Last NPPES UpdateJanuary 27, 2016

✔ NPI 1811236342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2712 MIDDLEBURG DR, Columbia, SC 29204

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Other Identifiers 2

Medicare UPINF027SC

Medicaid159 BHSSC

Other Providers at the Same Location NPPES 20

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

ERIC WAYNE POWELL MSW

Social Worker (Clinical)

2712 MIDDLEBURG DR
COLUMBIA, SC 29204

Richland County (803) 851-1923

JAN H. GIESEN LISW-CP

Social Worker (Clinical)

2712 MIDDLEBURG DR, SUITE 206
COLUMBIA, SC 29204

Richland County (803) 770-0354

MR. CLARENCE JOSEPH DOLLISON JR. MD

Pediatrics

2712 MIDDLEBURG DR, SUITE 101
COLUMBIA, SC 29204

Richland County (803) 254-4257

SOUTHEAST COUNSELING & CONSULTING, LLC

Counselor (Mental Health)

2712 MIDDLEBURG DR, SUITE 207B
COLUMBIA, SC 29204

Richland County (803) 238-5063

MRS. QUANNA LA'KISHA CROSS LPC

Counselor (Professional)

2712 MIDDLEBURG DR, 207B
COLUMBIA, SC 29204

Richland County (803) 556-9439

ASY ABSOLUTE WELLNESS CLINIC, LLC

Specialist

2712 MIDDLEBURG DR, SUITE 206
COLUMBIA, SC 29204

Richland County (803) 335-1272

DR. ANDREA MARIE LAZARO MD

Pediatrics

2712 MIDDLEBURG DR, SUITE 101 MIDLANDS PEDIATRICS
COLUMBIA, SC 29204

Richland County (803) 254-4257

ZAHIYAH T HASAN NRMA, NRCPT

Technician, Pathology (Phlebotomy)

2712 MIDDLEBURG DR, SUITE 104
COLUMBIA, SC 29204

Richland County (803) 830-2048

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 Behavioral, Inc's NPI number?

The NPI number for Mindful Behavioral, Inc is 1811236342. It was assigned to this organization in the NPPES registry on February 4, 2013.

Where is Mindful Behavioral, Inc located?

Mindful Behavioral, Inc is located at 2712 Middleburg Dr Suite 105, Columbia, SC 29204. The listed phone number is (803) 569-1789.

What is Mindful Behavioral, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mindful Behavioral, Inc was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.