Provider Demographics
NPI:1952107427
Name:STRONG MIND AND BODY
Entity type:Organization
Organization Name:STRONG MIND AND BODY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-360-7956
Mailing Address - Street 1:32117 HIDDEN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-5003
Mailing Address - Country:US
Mailing Address - Phone:574-360-7956
Mailing Address - Fax:
Practice Address - Street 1:51513 BITTERSWEET RD STE A
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-4989
Practice Address - Country:US
Practice Address - Phone:574-360-7956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPETITIVE EDGE CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty