Mind and Spirit Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087898 Issued in MI

Legal business name

MIND AND SPIRIT COUNSELING LLC

Practice address

44444 Mound Rd Ste 620
Sterling Heights, MI 48314-1354

Phone

(586) 859-0030

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Janice B Kizy, LMSW

Title

Owner/ Therapist

Phone

(586) 859-0030

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1164912879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44444 MOUND RD STE 620",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141354",
            "telephone_number": "586-859-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44444 MOUND RD STE 620",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141354",
            "telephone_number": "586-859-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND SPIRIT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "586-859-0030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801087898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Miller, OWNER
• Stephen Miller, DO
• Valora Makenzie Miller I
• Charles David Mills, PH.D.
• Gorica Milojevic, M.D.
• Sabrina Rose Mirabile
• Saima Anwar Mirza, PHARMD
• Philip Gregory Mischuk, D.D.S.
• Rajni Mishra, OTR
• Misk Medical Group PLLC

• Clinical Social Worker in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.