Mind & Body Synergy Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIND & BODY SYNERGY CENTER

Practice address

333 W Wooster St
Bowling Green, OH 43402-2807

Phone

(419) 315-6422

NPI assigned

Apr 10, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Deann Marie Gossard, LPCC, LICDC

Title

Counselor

Phone

(419) 315-6422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1790304780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12753 LULU RD",
            "city": "IDA",
            "state": "MI",
            "postal_code": "481409524",
            "telephone_number": "419-315-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022807",
            "telephone_number": "419-315-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BODY SYNERGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "GOSSARD",
        "authorized_official_first_name": "DEANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "419-315-6422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Miller, LPN
• Janet Miller, LPCC
• Kinsy Miller, R.D., L.D.
• Tabatha Marie Miller, CDCA
• Amanda D Milligan, PT, DPT
• Corey Miracle
• MK & SS Ahmed MDS Inc
• Christine Kay Mockensturm
• Katie Irene Molina, LSW
• Kimberly C Molnar, MA, CT, LPSC

• Professional Counselor in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.