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

Mindful Life Practice, LLC

Organization Mental Health Counselor · NPI 1053781765

Mindful Life Practice, LLC provides Mental Health Counselor services in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
3
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

221 Garland St
Traverse City, MI 49684-2372
Phone: (231) 486-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801092522 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401009566 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801093556 (MI)

Record details

NPI number1053781765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Smith — Partner · (231) 486-0805
NPI enumeratedOctober 7, 2015
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address221 Garland St, Traverse City, MI 49684-2372

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