MINDFUL MOON MENTAL HEALTH LLC
NPI 1801602677
Counselor - Professional in Canton, MI

Active since December 06, 2024
8316 HOLLY DR, CANTON, MI 48187(734) 564-0019 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mindful Moon Mental Health Llc NPPES

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

MINDFUL MOON MENTAL HEALTH LLC (NPI 1801602677) is a healthcare organization registered as a professional in Canton, Michigan and active in the NPI registry since December 2024. The organization lists Staci L Hissong, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1801602677
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMINDFUL MOON MENTAL HEALTH LLC
Location Address8316 HOLLY DRCanton, MI 48187-4238
Mailing Address8316 Holly DrCanton, MI 48187-4238 · (734) 564-0019
Organization SubpartNo
Authorized OfficialStaci L HissongOwner/therapist · (734) 564-0019
Enumeration DateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1801602677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
8316 HOLLY DR, Canton, MI 48187

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

Accepted Insurance

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 Mindful Moon Mental Health LLC's NPI number?

The NPI number for Mindful Moon Mental Health LLC is 1801602677. It was assigned to this organization in the NPPES registry on December 6, 2024.

Where is Mindful Moon Mental Health LLC located?

Mindful Moon Mental Health LLC is located at 8316 Holly Dr, Canton, MI 48187. The listed phone number is (734) 564-0019.

What is Mindful Moon Mental Health LLC's specialty?

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

What insurance does Mindful Moon Mental Health LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mindful Moon Mental Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindful Moon Mental Health LLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.