The Therapeutic Loft LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE THERAPEUTIC LOFT LLC

Practice address

26677 W 12 Mile Rd # 117
Southfield, MI 48034-1514

Phone

(231) 445-1173

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Mastermind I Masterpeace, LLMSWNPI 1790130714

Title

Therapist

Phone

(231) 445-1173

Specialties & licenses 1

Addresses

Electronic endpoints 3

Locations

Practitioners 1

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

• Mastermind Isa Masterpeace

  • Social Worker
  • Detroit, MI
  • NPI 1790130714
  NPD Authorized official

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1457942583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 GLYNN CT # C306",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021460",
            "telephone_number": "313-778-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26677 W 12 MILE RD # 117",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341514",
            "telephone_number": "231-445-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPEUTIC LOFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "MASTERPEACE",
        "authorized_official_first_name": "MASTERMIND",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "231-445-1173",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tpope@thetherapeuticloft.com",
            "affiliation": "N",
            "endpointDescription": "TTL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1251 Glynn Ct # C306",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482021460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tpope@thetherapeuticloft.com",
            "affiliation": "N",
            "endpointDescription": "TTL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1251 Glynn Ct # C306",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482021460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healing@thetherapeuticloft.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26677 W 12 Mile Rd # 117",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480341514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.