Mind & Body, LLC

Primary specialty

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

Legal business name

MIND & BODY, LLC

Practice address

885 Gold Hill Road
3004
Fort Mill, SC 29708

Phone

(803) 752-0106

NPI assigned

Aug 31, 2023

Last updated

Mar 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erika De la Cruz, MA,LCMHCA,LPCA,NCCNPI 1710449046

Title

Clinical Mental Health Counselor

Phone

(980) 417-1387

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erika De la Cruz, MA, LCMHC, LPC, NCC

  • Mental Health Counselor
  • Fort Mill, SC
  • NPI 1710449046
  Authorized official Same address or phone

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1871378380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 GOLD HILL ROAD",
            "address_2": "3004",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-752-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 GOLD HILL ROAD",
            "address_2": "3004",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-752-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "980-417-1387",
        "authorized_official_credential": "MA,LCMHCA,LPCA,NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Lorraine Miller, RN
• Vera Millner
• Abigail Grace Millo, CF SLP
• Chanel Angel Mimms
• Mina Home Care LLC
• Mindful Momentum, LLC
• Miracle Houses, Inc.
• Isabel Mistretta, RBT
• Shakeethia Mobley, BT
• Modern Concepts, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.