Inhabit Bodymind Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INHABIT BODYMIND THERAPY

Doing business as

Luminous Heart Wellness

Practice address

872 Grove Rd Ste Ur
Ypsilanti, MI 48198-6300

Phone

(458) 215-1356

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Tricia 'Shura' Dawn Eagen, LPC

Title

Mental Health Counselor

Phone

(458) 215-1356

Specialties & licenses 1

Addresses

Other names 1

• Luminous Heart Wellness Doing business as

Locations

Practitioners 1

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

• Tricia Eagen, LPC

  • Mental Health Counselor
  • Royal Oak, MI
  • NPI 1093564809
  NPD

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1508696303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 GROVE RD STE UR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986300",
            "telephone_number": "458-215-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 GROVE RD STE UR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986300",
            "telephone_number": "458-215-1356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 W 4th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480673803",
            "country_code": "US",
            "telephone_number": "458-215-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INHABIT BODYMIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "EAGEN",
        "authorized_official_first_name": "TRICIA 'SHURA'",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "458-215-1356",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminous Heart Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.