Provider Demographics
NPI:1720767700
Name:MINDVIEW MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:MINDVIEW MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:315-427-6065
Mailing Address - Street 1:75 ROCKLEDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-5319
Mailing Address - Country:US
Mailing Address - Phone:315-427-6065
Mailing Address - Fax:
Practice Address - Street 1:75 ROCKLEDGE RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-5319
Practice Address - Country:US
Practice Address - Phone:315-427-6065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty