MINDFUL BEHAVIORAL
NPI 1891108320
Community/Behavioral Health in North Charleston, SC

Active since June 02, 2014
3255 LANDMARK DR, NORTH CHARLESTON, SC 29418(843) 864-1661(843) 628-1020 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mindful Behavioral NPPES

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

MINDFUL BEHAVIORAL (NPI 1891108320) is a healthcare organization registered as a community/behavioral health in North Charleston, 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

NPI1891108320
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMINDFUL BEHAVIORAL
Location Address3255 LANDMARK DRNorth Charleston, SC 29418-8461
Mailing Address3255 Landmark DrNorth Charleston, SC 29418-8461 · (843) 864-1661 · Fax (843) 628-1020
Fax(843) 628-1020
Organization SubpartNo
Authorized OfficialJomoyatta Akila ProctorPresident · (919) 697-0767
Enumeration DateJune 2, 2014
NPI 1891108320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in SC · 159 BHS
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.
3255 LANDMARK DR, North Charleston, SC 29418

Other Identifiers 1

Medicaid159 BHSSC

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Sleep Disorder Diagnostic)
3255 LANDMARK DR, SUITE 101
NORTH CHARLESTON, SC 29418
Counselor
3255 LANDMARK DR, BUILDING 200, SUITE 203
NORTH CHARLESTON, SC 29418
Social Worker (Clinical)
3255 LANDMARK DR
NORTH CHARLESTON, SC 29418

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's NPI number?

The NPI number for Mindful Behavioral is 1891108320. It was assigned to this organization in the NPPES registry on June 2, 2014.

Where is Mindful Behavioral located?

Mindful Behavioral is located at 3255 Landmark Dr, North Charleston, SC 29418. The listed phone number is (843) 864-1661.

What is Mindful Behavioral'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 was last updated on June 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.