MIND BODY AND SOUL A ROAD TO RECOVERY
NPI 1366018129
Counselor - Addiction (Substance Use Disorder) in Merrillville, IN

Active since June 02, 2021
5490 BROADWAY BSMT, MERRILLVILLE, IN 46410(219) 555-5555 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2021, Jun 4, 2021 (2 updates tracked since 2021).

About Mind Body And Soul A Road To Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND BODY AND SOUL A ROAD TO RECOVERY (NPI 1366018129) is a healthcare organization registered as an addiction (substance use disorder) in Merrillville, Indiana and active in the NPI registry since June 2021. The organization lists Lynn Mcdonald, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1366018129
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameMIND BODY AND SOUL A ROAD TO RECOVERY
Location Address5490 BROADWAY BSMTMerrillville, IN 46410-1675
Mailing Address5490 Broadway BsmtMerrillville, IN 46410-1675 · (219) 939-7763
Organization SubpartNo
Authorized OfficialLynn McdonaldCredentialing Specialist · (219) 769-1670
Enumeration DateJune 2, 2021
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
NPI 1366018129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5490 BROADWAY BSMT, Merrillville, IN 46410

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Body And Soul A Road To Recovery's NPI number?

The NPI number for Mind Body And Soul A Road To Recovery is 1366018129. It was assigned to this organization in the NPPES registry on June 2, 2021.

Where is Mind Body And Soul A Road To Recovery located?

Mind Body And Soul A Road To Recovery is located at 5490 Broadway Bsmt, Merrillville, IN 46410. The listed phone number is (219) 555-5555.

What is Mind Body And Soul A Road To Recovery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mind Body And Soul A Road To Recovery was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.