Mindfully, LLC

NPI #1972702520 in Fairfield, Ohio

Provider Information

NPI Number: 1972702520
Entity Type: Organization
Organization Name: Mindfully, LLC
Primary Specialty: Counselor
Enumeration Date: Jul 13, 2007
Last Updated: Nov 21, 2025

Practice Location

Address: 1251 NILLES RD STE 5
City: Fairfield
State: Ohio
ZIP Code: 45014-7205
Phone: (513) 939-0300

Authorized Official

Name: CHARLES K ROBERTS, EDD, LPCC-S, LICDC-C
Title: AUTHORIZED OFFICIAL
Phone: (888) 830-0347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X
Peer Specialist	175T00000X
Marriage & Family Therapist	106H00000X
Case Manager/Care Coordinator	171M00000X
Psychologist	103T00000X
Counselor	101Y00000X	Primary

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