CONSCIOUS HEALING THERAPY PLLC NPI 1124626577

NPI Information

  • NPI: 1124626577
  • Provider Name: CONSCIOUS HEALING THERAPY PLLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 569 WILDWOOD AVE UNIT 4
    JACKSON, MI
    ZIP 49201
  • Phone: (734) 219-9636

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NPI Details

CONSCIOUS HEALING THERAPY PLLC is a counselor in Jackson, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CONSCIOUS HEALING THERAPY PLLC NPI is 1124626577. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

569 WILDWOOD AVE UNIT 4
JACKSON, MI
ZIP 49201-048
Phone: (734) 219-9636

The provider's authorized official is Mary Beth Houpt .
The authorized official title is Credentialing and has the following contact phone number (517) 676-9797.

The enumeration date for this NPI number is 10/16/2020 and was last updated on 12/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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