Corporate Mind Body Spa LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

CORPORATE MIND BODY SPA LLC

Practice address

600 Renaissance Ctr # 1
Detroit, MI 48243-1815

Phone

(313) 393-7995

Fax

(313) 393-3208

NPI assigned

Jul 28, 2009

Last updated

Jul 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Loresa RobertsonNPI 1306082557

Title

President

Phone

(313) 806-0962

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loresa Robertson, LMT

  • Massage Therapist
  • Detroit, MI
  • NPI 1306082557
  NPD (past) Authorized official

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1407087299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RENAISSANCE CTR # 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431815",
            "telephone_number": "313-393-7995",
            "fax_number": "313-393-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RENAISSANCE CTR # 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431815",
            "telephone_number": "313-393-7995",
            "fax_number": "313-393-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE MIND BODY SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LORESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-806-0962",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Community Counseling LLC
• Cornerstone Urban Alliance
• Benjamin Craig Cornwall, D.D.S.
• Brandon Cornwell, DO
• Darryl Cornwell, MSA
• Corr Medical Supplies & Equipment
• John J. Corrigan, M.D.
• Susan M Corrion, M.D.
• Bianca Cortes Ferreira, CTRS
• Pedro Cortes, M.D.

• Contractor in Detroit, MI
• Providers in Detroit, MI by specialty
• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.