Loud Body Sound Mind, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

17540 Issued in MN

Legal business name

LOUD BODY SOUND MIND, LLC

Practice address

1025 Selby Ave Ste 101
Saint Paul, MN 55104-6533

Phone

(651) 428-2058

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Melissa Caroline Duncan, LICSW

Title

Psychotherapist/Business Owner

Phone

(651) 428-2058

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1386196673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SELBY AVE STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046533",
            "telephone_number": "651-428-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SELBY AVE STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046533",
            "telephone_number": "651-428-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUD BODY SOUND MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/BUSINESS OWNER",
        "authorized_official_telephone_number": "651-428-2058",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "17540",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "17540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lost Psychotherapy
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• Holly Jean Lott, LICSW
• Lotus Recovery, LLC
• Susan Margaret Lou
• Elissa Louks
• Michael Loushin, MD
• Linda Mayhnia Lovaj
• James Matthew Lovat, LICSW
• Sara L Lovat, LICSW

• Adolescent and Children Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.