Provider Demographics
NPI:1932847340
Name:3MS SERVICES LLC
Entity Type:Organization
Organization Name:3MS SERVICES LLC
Other - Org Name:MICHELLE'S MINDFUL MOVEMENTS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-917-7757
Mailing Address - Street 1:543 COX RD STE D-7
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0607
Mailing Address - Country:US
Mailing Address - Phone:704-917-7757
Mailing Address - Fax:
Practice Address - Street 1:543 COX RD STE D-7
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0607
Practice Address - Country:US
Practice Address - Phone:704-501-7675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care