Mighty Warrior Wellness, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIGHTY WARRIOR WELLNESS, PC

Practice address

125 S Broadway St
Cassopolis, MI 49031-1242

Phone

(269) 414-8534

NPI assigned

Jun 17, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carla Lowe, LPC, CAADCNPI 1699018481

Title

President

Phone

(269) 414-8534

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Lowe, MS, LPC, CAADC

  • Mental Health Counselor
  • Cassopolis, MI
  • NPI 1699018481
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1083345458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S BROADWAY ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311242",
            "telephone_number": "269-414-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S BROADWAY ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311242",
            "telephone_number": "269-414-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY WARRIOR WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-414-8534",
        "authorized_official_credential": "LPC, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor J McAndrew, MA
• Justin McCammon
• Sheila Meese, LLPC
• Muktiraj Mehta, M.D.
• Alexandria Elizabeth Merkel-Fisher
• Scot K Moore, DVM
• Matosha Morin
• Corey Chad Morrow
• Jody Murmu
• Tamantha Renee Murphy, LLMSW

• All providers in Cassopolis, MI
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.