MINDFUL MOMENTS LLC (NPI# 1962842005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962842005 |
| Entity Type | Organization |
| Organization Name | MINDFUL MOMENTS LLC |
| Practice Address |
5737 Harvard Rd Detroit MI 48224-2007 |
| Practice Telephone | 8885080903 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | DR. LATISHA BRABOY (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8885080903 |
| Authorized Official Credential | PSY.D,LLP.LMSW,A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502313 | Mindful Moments LLC | Community/Behavioral Health | 15636 N Highway 41 Ste 700, Rathdrum, ID 83858-8710 | 2020-09-10 |
| 1508480278 | Mindful Moments LLC | Clinic/Center | 30 Depot St, Collinsville, CT 06019-4113 | 2020-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MINDFUL MOMENTS LLC | 10 Depot Street, Collinsville, CT 06019 |
| Street Address |
5737 HARVARD RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48224-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538310305 | Latisha Braboy | Psychologist | 5737 Harvard Rd, Detroit, MI 48224-2007 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| 1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
| 1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
| 1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
| 1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
| 1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
| Find all providers in zip 48224 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033698477 | Cason Adult Day Program Inc | Clinic/Center | 8200 Rolyat St, Detroit, MI 48234-3358 | 2018-08-07 |
| 1922509884 | Village of Hope Senior Center | Clinic/Center | 3127 E Canfield St, Detroit, MI 48207-1508 | 2018-02-26 |
| 1316481195 | Wayne State University | Clinic/Center | 3901 Chrysler Services Drive, Detroit, MI 48201 | 2016-12-13 |
| 1730555640 | A New Beginning | Clinic/Center | 2690 West Boston Blvd, Detroit, MI 48206-1751 | 2015-08-14 |
| 1225368301 | William W. Martin, Md PC | Clinic/Center | 5575 Conner, Suite 208, Detroit, MI 48213 | 2010-01-12 |
| 1861729691 | Swilliams Services, LLC | Clinic/Center | 18965 Santa Barbara Dr, Detroit, MI 48221-2151 | 2009-11-16 |
| 1649354606 | K&k Assisted | Clinic/Center | 12060 Indiana St, Detroit, MI 48204-1084 | 2006-10-25 |
| 1477174589 | Ltd Psychological Services | Clinic/Center | 15 E Kirby St, Suite 107b, Detroit, MI 48202-4043 | 2020-04-29 |
| 1801450853 | Harvey-jakson Consulting | Clinic/Center | 19115 W 7 Mile Rd, Detroit, MI 48219-2706 | 2019-04-25 |
| 1386953727 | Sinai Hospital | Clinic/Center | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2010-10-04 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.