Active NPI
Two Brave Vikings LLC
- Methadone Clinic
- Mount Pleasant, MI
National Provider Identifier
1780568352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- TWO BRAVE VIKINGS LLC
- Practice address
- 409 N Mission St
Mount Pleasant, MI 48858-1825 - Phone
- (989) 294-2138
- NPI assigned
- Aug 5, 2025
- 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
- Mindi Woodruff
- Title
- Owner
- Phone
- (480) 826-2771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
409 N Mission St
Mount Pleasant, MI 48858-1825
Mailing address
PO Box 15
Mount Pleasant, MI 48804-0015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EMC0001010 | Other | MI | MICHIGAN MEDICAL LICENSE |
| 5315227009 | Other | MI | MICHIGAN CONTROLLED SUBSTANCE |
Other names 1
- NEW HOPE BEHAVIORAL HEALTH CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251110001674 | MI | Part B Supplier - Opioid Treatment Program (Otp) | 6709376585 | Practice locations: Mount Pleasant, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Registered Nurse
- Mesa, AZ
- NPI 1154208049
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1821431560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1780568352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488040015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N MISSION ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488581825",
"telephone_number": "989-294-2138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWO BRAVE VIKINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "WOODRUFF",
"authorized_official_first_name": "MINDI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-826-2771"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN MEDICAL LICENSE",
"identifier": "EMC0001010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN CONTROLLED SUBSTANCE",
"identifier": "5315227009",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW HOPE BEHAVIORAL HEALTH CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.