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INTEGRATIVE MIND BODY THERAPY, LLC
NPI 1407594153
Counselor - Professional in Charleston, SC

Active since May 23, 2022
2511 STADIUM DR, CHARLESTON, SC 29406(816) 752-6631(844) 919-1630 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Sep 2, 2022, May 23, 2022 (3 updates tracked since 2022).

About Integrative Mind Body Therapy, Llc NPPES

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

INTEGRATIVE MIND BODY THERAPY, LLC (NPI 1407594153) is a healthcare organization registered as a professional in Charleston, South Carolina and active in the NPI registry since May 2022. The organization lists Lisa Fracica, Owner And Sole Member, as its authorized official.

NPPES Registry Identity

NPI1407594153
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameINTEGRATIVE MIND BODY THERAPY, LLC
Location Address2511 STADIUM DRCharleston, SC 29406-6606
Mailing Address2511 Stadium DrCharleston, SC 29406-6606 · (816) 752-6631 · Fax (844) 919-1630
Phone(816) 752-6631
Fax(844) 919-1630
Organization SubpartNo
Authorized OfficialLisa FracicaOwner And Sole Member · (816) 752-6631
Enumeration DateMay 23, 2022
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1407594153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2511 STADIUM DR, Charleston, SC 29406
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA FRACICA MA, LCPC, LGPAT
Counselor (Professional)
2511 STADIUM DR
CHARLESTON, SC 29406
Charleston County (816) 752-6631

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 Integrative Mind Body Therapy, LLC's NPI number?

The NPI number for Integrative Mind Body Therapy, LLC is 1407594153. It was assigned to this organization in the NPPES registry on May 23, 2022.

Where is Integrative Mind Body Therapy, LLC located?

Integrative Mind Body Therapy, LLC is located at 2511 Stadium Dr, Charleston, SC 29406. The listed phone number is (816) 752-6631.

What is Integrative Mind Body Therapy, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Integrative Mind Body Therapy, LLC was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.