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MINDFUL BEHAVIORAL INC
NPI 1881007573
Community/Behavioral Health in Dillon, SC

Active since June 10, 2014
210 W HARRISON ST, DILLON, SC 29536(843) 487-5004(877) 343-3190 Get Directions Write a Review

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

About Mindful Behavioral Inc NPPES

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

MINDFUL BEHAVIORAL INC (NPI 1881007573) is a healthcare organization registered as a community/behavioral health in Dillon, South Carolina and active in the NPI registry since June 2014. The organization lists Jomoyatta Akila Proctor, President, as its authorized official.

NPPES Registry Identity

NPI1881007573
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMINDFUL BEHAVIORAL INC
Location Address210 W HARRISON STDillon, SC 29536-3310
Mailing Address2712 Middleburg Dr, Suite 105Columbia, SC 29204-2415 · (803) 569-1789
Phone(843) 487-5004
Fax(877) 343-3190
Organization SubpartNo
Authorized OfficialJomoyatta Akila ProctorPresident · (919) 697-0767
Enumeration DateJune 10, 2014
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1881007573 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.
210 W HARRISON ST, Dillon, SC 29536
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Other Identifiers 2

Medicaid188BHSSC
Medicare UPINF027SC

Other Providers at the Same Location NPPES

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

VICKI GODBOLD
Physical Therapist
210 W HARRISON ST
DILLON, SC 29536
Dillon County (843) 774-7132

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 1881007573. It was assigned to this organization in the NPPES registry on June 10, 2014.

Where is Mindful Behavioral Inc located?

Mindful Behavioral Inc is located at 210 W Harrison St, Dillon, SC 29536. The listed phone number is (843) 487-5004.

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.