CORPORATE MIND BODY SPA LLC (NPI# 1407087299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407087299 |
| Entity Type | Organization |
| Organization Name | CORPORATE MIND BODY SPA LLC |
| Practice Address |
600 Renaissance Ctr # 1 Detroit MI 48243-1815 |
| Practice Telephone | 3133937995 |
| Practice Fax Number | 3133933208 |
| Mailing Telephone | 3133937995 |
| Mailing Fax Number | 3133933208 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | MS. LORESA ROBERTSON (PRESIDENT) |
| Authorized Official Telephone | 3138060962 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | MI | Other Service Providers |
| Street Address |
600 RENAISSANCE CTR # 1 |
| City | DETROIT |
| State | MI |
| Zip Code | 48243-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306082557 | Loresa Robertson | Massage Therapist | 600 Renaissance Ctr # 1, Detroit, MI 48243-1815 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055424 | Aeos Care Mi, Inc. | In Home Supportive Care | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-03-06 |
| 1952837163 | Genuine Care Services LLC | Exclusive Provider Organization | 400 Renaissance Center Suite 2600, Detroit, MI 48243 | 2017-05-08 |
| 1245786029 | Elissa Karstu | Chiropractor | 600 Tower Level 1, Renaissance Center, Detroit, MI 48243 | 2016-08-31 |
| 1730664202 | Aeos Care Mi, Inc. | Durable Medical Equipment & Medical Supplies | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-10-01 |
| 1447744982 | Rebecca Lindgren | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2018-06-19 |
| 1366959710 | Quenessa C Miller | Technician, Health Information | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2018-01-08 |
| 1225543010 | Jennifer Le-ann Sofranski | Psychologist | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2017-12-03 |
| 1366982076 | Whitney Jenerette | Counselor | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2017-02-28 |
| 1073961694 | Aaron Byrne | Counselor | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2016-05-25 |
| 1578985206 | Kathleen Wilson | Behavioral Analyst | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2014-01-15 |
| Find all providers in zip 48243 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229880 | Terri Dallas | Contractor | 59 Seward St Apt 603, Detroit, MI 48202-2431 | 2019-11-12 |
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1154898146 | Israel Agodu | Contractor | 6474 Rosemont Ave, Detroit, MI 48228-4754 | 2018-10-27 |
| 1356894943 | Metecia Smith | Contractor | 11138 Findlay St, Detroit, MI 48205-4714 | 2016-07-29 |
| 1205286267 | Megan Boyle | Contractor | 17183 Griggs St, Detroit, MI 48221-2426 | 2016-06-20 |
| 1124486964 | Karen Porter | Contractor | 13994 Minock St, Detroit, MI 48223-2804 | 2016-02-08 |
| 1578936050 | Inglish Reed-jones | Contractor | 15 E Kirby St Ste B-7, Detroit, MI 48202-4047 | 2015-11-05 |
| 1811373269 | Venise Omeally | Contractor | 4757 Anthony Wayne Dr, Apt 2, Detroit, MI 48201-3750 | 2015-08-08 |
| 1124404553 | Wanda Marie Williams | Contractor | 4104 Woodhall St, Detroit, MI 48224-2221 | 2015-08-07 |
| 1316323942 | Vanessa Bryant | Contractor | 19691 Hasse St, Detroit, MI 48234-2155 | 2015-08-05 |
| Find all providers in DETROIT | ||||
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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.