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 is a Professional Counselor 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
Show map & directions

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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