Mindstream LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4940 Issued in SC

Legal business name

MINDSTREAM LLC

Practice address

11 Grassey LN
Bluffton, SC 29910-6604

Phone

(843) 757-2003

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Barbara H Pacitti, MS;LMHC;NCC

Title

Director

Phone

(843) 757-2192

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1811297948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GRASSEY LN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106604",
            "telephone_number": "843-757-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GRASSEY LN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106604",
            "telephone_number": "843-757-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSTREAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "PACITTI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-757-2192",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS;LMHC;NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "6634766",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Miller, D.D.S.
• Thomas Ross Miller, LAT, ATC
• Kayla Mills, PHARMD
• Mindful Movement LLC
• Mindora Health
• Meredith E Mitchell, MD
• Susan Mongeon, OT
• Adela Montalvo, NURSE PRACTITIONER
• Leland Thomas Montierth, DO
• Morgan L Moody

• Professional Counselor in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.