OrganizationActive
Mind, Body and Spirit Counseling & Consultation LLC
NPI 1205401809 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fairbanks, AK
Mind, Body and Spirit Counseling & Consultation LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Fairbanks, AK (NPI 1205401809).
Provider details
- NPI number
- 1205401809
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Frank Ponziano, Manager(773) 981-0620
Practice location
2025 Blueberry St Apt 2
Fairbanks, AK 99701-6589
Phone: (773) 981-0620
Street-level locationGet directions
Mailing address
2025 Blueberry St Apt 2
Fairbanks, AK 99701-6589
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-25
- Certified
- 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.