Organization Active NPI

Mind Body Unity LLC

Doing business as Mind Body Unity Counseling Services

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1316600141
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIND BODY UNITY LLC
Doing business as
Mind Body Unity Counseling Services
Practice address
2424 India Hook Rd Ste 140
Rock Hill, SC 29732-1278
Phone
(803) 339-9504
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Mrs. Georgette T Fuhr, LISW-CPNPI 1265855092
Title
Owner
Phone
(803) 339-9504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2424 India Hook Rd Ste 140
Rock Hill, SC 29732-1278

Mailing address

2424 India Hook Rd Ste 140
Rock Hill, SC 29732-1278
Phone (803) 339-9504

Other names 1

  • Mind Body Unity Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230915002896 SC Part B Supplier - Clinic/Group Practice 3274997721 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

2424 India Hook Rd
Ste 140
Rock Hill, SC 29732
Phone (803) 203-7433

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1316600141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 INDIA HOOK RD STE 140",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321278",
            "telephone_number": "803-339-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 INDIA HOOK RD STE 140",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321278",
            "telephone_number": "803-339-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY UNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "FUHR",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-339-9504",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Unity Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.