Mind-Body Trauma Therapy LLC

Organization Active NPI Professional Counselor · Baldwin City, KS

NPI 1114767415 · NPPES record last updated Feb 19, 2025

Key facts

NPI
1114767415
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
MIND-BODY TRAUMA THERAPY LLC
Practice address
793 E 1055TH Rd
Baldwin City, KS 66006-7287
Phone
(971) 412-2287
NPI assigned
May 27, 2024
Organization subpart
No

Authorized official

Name
Elizabeth Moffitt, LCPC, LPC, LMHC
Title
Therapist/Owner
Phone
(971) 412-2287

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

793 E 1055TH Rd
Baldwin City, KS 66006-7287

Mailing address

793 E 1055TH Rd
Baldwin City, KS 66006-7287
Phone (971) 412-2287

Other practice location 1

1410 W 35th Ter
Kansas City, MO 64111-3902
Phone (971) 412-2287

Other providers in Baldwin City, KS

All providers in Baldwin City, KS · Professional Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.