Mind Body & Soul Counseling & Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIND BODY & SOUL COUNSELING & WELLNESS CENTER

Practice address

2603 Hillway Dr
Greensboro, NC 27407-5220

Phone

(336) 601-7132

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Allyson Shields, LCMHCNPI 1538651195

Title

Owner

Phone

(336) 601-7132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Allyson Shields

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1538651195

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1366175127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 HILLWAY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075220",
            "telephone_number": "336-601-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 HILLWAY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075220",
            "telephone_number": "336-601-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY & SOUL COUNSELING & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-601-7132",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milton's Sittings & Health Care Service's
• Lauren Whitney Mims, D.O.
• Logan Mims, MA CCC-SLP
• Andrew Julian Mincey, MD
• Mind and Mood Psychological Services PLLC
• Mind Healing Therapeutic Services PLLC
• Mindful Creative Connections
• Arthur B Mines, M.A. CCC-A
• Anna Minnick, RN
• Ellbree Minor, CMA

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.