Mind Body & Soul Connection Llc | |
119 Pere Marquette Dr Ste 3c Lansing MI 48912-1270 | |
(517) 455-7555 | |
(517) 455-7540 |
Full Name | Mind Body & Soul Connection Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 119 Pere Marquette Dr Ste 3c, Lansing, Michigan |
Authorized Official Name and Position | Jackie Shpak (PSYCHOLOGIST MASTERS LEVEL) |
Authorized Official Contact | 7346742515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mind Body & Soul Connection Llc 13185 Wacousta Rd Grand Ledge MI 48837-9254 Ph: (734) 674-2515 | Mind Body & Soul Connection Llc 119 Pere Marquette Dr Ste 3c Lansing MI 48912-1270 Ph: (517) 455-7555 |
NPI Number | 1679198444 |
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Provider Enumeration Date | 06/08/2020 |
Last Update Date | 06/08/2020 |
Certification Date | 06/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679198444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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