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

Mindful Life Practice, LLC

Organization Mental Health Counselor · NPI 1053781765

Mindful Life Practice, LLC is a Mental Health Counselor 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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