Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mindful Moon Mental Health LLC

Organization Professional Counselor · NPI 1801602677

Mindful Moon Mental Health LLC provides Professional Counselor services in Canton, Michigan. Registered with an NPI since 2024.

In the registry since
2024
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

8316 Holly Dr
Canton, MI 48187-4238
Phone: (734) 564-0019
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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 number1801602677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Staci Hissong — Owner/Therapist · (734) 564-0019
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address8316 Holly Dr, Canton, MI 48187-4238

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