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

Mind, Body and Spirit Counseling & Consultation LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1205401809

Mind, Body and Spirit Counseling & Consultation LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Fairbanks, Alaska. Registered with an NPI since 2021.

In the registry since
2021
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

2025 Blueberry St Apt 2
Fairbanks, AK 99701-6589
Phone: (773) 981-0620
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1205401809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Ponziano — Manager · (773) 981-0620
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address2025 Blueberry St Apt 2, Fairbanks, AK 99701-6589

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