Mindful Solutions, LLC

Mindful Solutions, LLC is a healthcare organization registered as Professional Counselor in Jackson, MS, holding Type 2 (organization) NPI 1083176218 since 2019. The authorized official on file is Sherry Bouldin, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1083176218
Entity type	Organization (Type 2)
Legal business name	Mindful Solutions, LLC
Other name	<Unavail>
Practice address	4500 I 55 N STE 208, Jackson, MS, 39211
Phone	6012926260
Fax	6014878115
Enumeration date	2019-04-05
Last updated in NPPES	2025-09-17

Authorized official

Name	Sherry Bouldin
Title	Owner
Phone	6012926260

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
101YM0800X	Mental Health Counselor	Secondary	—	—
101Y00000X	Counselor	Secondary	—	—
101YA0400X	Addiction (Substance Use Disorder) Counselor	Secondary	—	—
103K00000X	Behavior Analyst	Secondary	—	—
102L00000X	Psychoanalyst	Secondary	—	—
101YP2500X	Professional Counselor	Primary	—	—

Copy-ready billing details

Provider: Mindful Solutions, LLC
NPI: 1083176218
Taxonomy: 101YP2500X (Professional Counselor)
Address: 4500 I 55 N STE 208, Jackson, MS, 39211

Providers at this address

NPI	Name	Type	Specialty	Location
1376082719	Tyler Stacy	Individual	Professional Counselor	Jackson, MS
1295292274	Carroll Blackledge	Individual	Professional Counselor	Jackson, MS

Verify this record

Cross-check NPI 1083176218 against the authoritative CMS record: view Mindful Solutions, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Mindful Solutions, LLC located?

The practice location on file with NPPES is in Jackson, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-17. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-17.