| Mind Body & Soul Connection Llc | |
|
13185 Wacousta Rd Grand Ledge MI 48837-9254 | |
| (734) 674-2515 | |
| Not Available |
| Full Name | Mind Body & Soul Connection Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13185 Wacousta Rd, Grand Ledge, 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 13185 Wacousta Rd Grand Ledge MI 48837-9254 Ph: (734) 674-2515 |
| NPI Number | 1679198444 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 04/22/2026 |
| Certification Date | 04/22/2026 |
| 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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