Provider Type Icon

THE MINDFUL PRACTICE LLC NPI 1831858497


NPI Information

NPI: 1831858497
Provider Name: THE MINDFUL PRACTICE, LLC

Former Legal Business Name: ALEXIS PARDO LCSW, LLC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1133 LOUISIANA AVE STE 106
WINTER PARK, FL
ZIP 32789
Phone: (407) 308-2747
Get Directions

THE MINDFUL PRACTICE, LLC is a clinical social worker in Winter Park, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. THE MINDFUL PRACTICE, LLC NPI is 1831858497. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Alexis Pardo Lcsw, Llc.

The provider's business location address is:

1133 LOUISIANA AVE STE 106
WINTER PARK, FL
ZIP 32789-350
Phone: (407) 308-2747
Fax: (321) 413-5886

The provider's authorized official is Alexis Pardo .
The authorized official title is President and has the following contact phone number (407) 308-2747.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 10/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
41041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SW16166OTHERFLORIDALICENSE NUMBER
21588163679OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.