Organization · Type 2 NPI
Mindful Mountain Wellness Center
Child & Adolescent Psychiatry Physician · Roanoke, VA
NPI number
1083453161
Active
Practice location
3140 Chaparral Dr Ste 109C
Roanoke, VA 24018-4355
Fax (540) 767-6555
Other practice locations
- 4734 Hickory Hill Dr, Roanoke, VA 24018-7430 · (210) 315-5629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | None listed |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
About NPI 1083453161
Mindful Mountain Wellness Center's National Provider Identifier is 1083453161, issued on May 20, 2024. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Roanoke, VA. The record was last updated on Feb 2, 2026.