Mindful Soul Therapeutic Solutions LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MINDFUL SOUL THERAPEUTIC SOLUTIONS LLC

Practice address

130 W Wenger Rd
Englewood, OH 45322-2760

Phone

(937) 626-6481

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Iris M. Blanchard, LPC, LICDC, SAPNPI 1588206718

Title

Ceo

Phone

(937) 626-6481

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Iris Marie Blanchard, LPC LICDC

  • Mental Health Counselor
  • Huber Heights, OH
  • NPI 1588206718
  NPD Authorized official

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1255012969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 IMOGENE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454055208",
            "telephone_number": "937-626-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W WENGER RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222760",
            "telephone_number": "937-626-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SOUL THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-626-6481",
        "authorized_official_credential": "LPC, LICDC, SAP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloriner Miller
• Krista A Miller, NP
• Lindsey Elizabeth Miller, PHARM D.
• Sarah Miller, PA-C
• Mindful Journeys
• Benjamin Deloss Mishler, PA-C, AT
• Janece Marie Molinuevo, CNM
• Vee Monie
• Ashley Nicole Mowen, APRN-CNP
• Ernist Muhammad, CDCA

• Substance Abuse Rehabilitation Facility in Englewood, OH
• Providers in Englewood, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.