Mind Body Health Consulting PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801068212 Issued in MI

Legal business name

MIND BODY HEALTH CONSULTING PLLC

Practice address

122 S Main St
360-C
Ann Arbor, MI 48104-1929

Phone

(734) 645-4262

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Fraley, LMSW, ACSW

Title

Clinical Social Worker / President

Phone

(734) 645-4262

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1366744237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "address_2": "360-C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041929",
            "telephone_number": "734-645-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "address_2": "360-C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041929",
            "telephone_number": "734-645-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY HEALTH CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER / PRESIDENT",
        "authorized_official_telephone_number": "734-645-4262",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801068212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Milosevski, TLLP
• Elizabeth M Mimms, CSW
• Angel Mims
• Lillian Chiang Min, MD
• Alexa Angelica Minc, MD
• Mind Opened Therapy and Psychological Evaluations PLLC
• Mindful Motion Counseling LLC
• Mindful Path Mental Health Services, LLC
• Mindful Speech Therapy
• Mindmatters LLC

• Community/Behavioral Health Agency in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.