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

Mind Body and Soul a Road to Recovery

Organization Addiction (Substance Use Disorder) Counselor · NPI 1366018129

Mind Body and Soul a Road to Recovery is an Addiction (Substance Use Disorder) Counselor in Merrillville, Indiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5490 Broadway Bsmt
Merrillville, IN 46410-1675
Phone: (219) 555-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1366018129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn McDonald — Credentialing Specialist · (219) 769-1670
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021
Mailing address5490 Broadway Bsmt, Merrillville, IN 46410-1675

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