Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Mind Body Therapy, LLC

Organization Professional Counselor · NPI 1407594153

Integrative Mind Body Therapy, LLC provides Professional Counselor services in Charleston, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2511 Stadium Dr
Charleston, SC 29406-6606
Phone: (816) 752-6631
Fax: (844) 919-1630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1407594153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Fracica — Owner And Sole Member · (816) 752-6631
NPI enumeratedMay 23, 2022
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address2511 Stadium Dr, Charleston, SC 29406-6606

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