Provider Demographics
NPI:1942085543
Name:MINDFUL HEALING & WELLNESS
Entity Type:Organization
Organization Name:MINDFUL HEALING & WELLNESS
Other - Org Name:BLAINA MORGAN LMSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BLAINA
Authorized Official - Middle Name:GABRIELLE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-279-0501
Mailing Address - Street 1:37461 CREEKVIEW LN
Mailing Address - Street 2:
Mailing Address - City:NEW BALTIMORE
Mailing Address - State:MI
Mailing Address - Zip Code:48047-6398
Mailing Address - Country:US
Mailing Address - Phone:586-914-0342
Mailing Address - Fax:
Practice Address - Street 1:37461 CREEKVIEW LN
Practice Address - Street 2:
Practice Address - City:NEW BALTIMORE
Practice Address - State:MI
Practice Address - Zip Code:48047-6398
Practice Address - Country:US
Practice Address - Phone:586-914-0342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty