Active NPI
Mindful Blossom Counseling LLC
- Professional Counselor
- Berkley, MI
National Provider Identifier
1376456822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MINDFUL BLOSSOM COUNSELING LLC
- Practice address
- 4289 Gardner Ave
Berkley, MI 48072-1485 - Phone
- (586) 805-0655
- NPI assigned
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liala Maryann Reece, MA, LPC, NCC
- Title
- Licensed Professional Counselor
- Phone
- (586) 805-0655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4289 Gardner Ave
Berkley, MI 48072-1485
Mailing address
14370 Penrod St
Detroit, MI 48223-3550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1376456822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14370 PENROD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482233550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4289 GARDNER AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721485",
"telephone_number": "586-805-0655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL BLOSSOM COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "REECE",
"authorized_official_first_name": "LIALA",
"authorized_official_middle_name": "MARYANN",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "586-805-0655",
"authorized_official_credential": "MA, LPC, NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.