MINDFUL BALANCE PSYCHOLOGICAL WELLNESS LLC (NPI# 1316469174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316469174 |
| Entity Type | Organization |
| Organization Name | MINDFUL BALANCE PSYCHOLOGICAL WELLNESS LLC |
| Practice Address |
130 E Liberty St Plymouth MI 48170-1413 |
| Mailing Address |
208 High Canyon Ct Richardson TX 75080-2670 |
| Practice Telephone | 7346568611 |
| Mailing Telephone | 2145359418 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Authorized Official Name | RYAN BIDAN (OWNER) |
| Authorized Official Telephone | 2145359418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
130 E LIBERTY ST |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942611827 | Corrine Foster | Massage Therapist | 130 E Liberty St, Plymouth, MI 48170 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871807 | Little Beam Rehabilitation Services | Clinic/Center | 1745 Us Highway 64 W, Plymouth, NC 27962-9325 | 2020-11-04 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1306986518 | Minneapolis Vascular Physicians | Clinic/Center | 2800 Campus Drive, Suite 10, Plymouth, MN 55441-2645 | 2007-02-07 |
| 1942355466 | Family Medicine Center of Plymouth PC | Clinic/Center | 1904 Lake Ave, Plymouth, IN 46563-7828 | 2007-01-24 |
| 1619047537 | Weymouth Mri PC | Clinic/Center | 3 Cedarhill Park Drive, Plymouth, MA 02360-2226 | 2006-11-08 |
| 1447363270 | Henry Ford Health System | Clinic/Center | 14300 Beck Road, Plymouth, MI 48170 | 2006-08-16 |
| 1326463845 | Allina Health System | Clinic/Center | 2805 Campus Dr Ste 115, Plymouth, MN 55441-2677 | 2014-02-20 |
| 1275800757 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2011-11-28 |
| 1285930636 | Allina Health System | Clinic/Center | 2855 Campus Dr Ste 400, Plymouth, MN 55441-2659 | 2011-02-02 |
| 1225348584 | Patel Family Medicine LLC | Clinic/Center | 1904 Lake Ave, Plymouth, IN 46563-7828 | 2010-10-20 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.