OrganizationActive
Mind, Body and Spirit Counseling & Consultation LLC
NPI 1205401809 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fairbanks, AK
Provider details
- NPI number
- 1205401809
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Frank Ponziano, Manager
Practice location
2025 Blueberry St Apt 2
Fairbanks, AK 99701-6589
Phone: (773) 981-0620
Mailing address
2025 Blueberry St Apt 2
Fairbanks, AK 99701-6589
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.