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

Mindful Moon Mental Health LLC

Organization Professional Counselor · NPI 1801602677

Mindful Moon Mental Health LLC is a Professional Counselor in Canton, Michigan. Registered with an NPI since 2024.

In the registry since
2024
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

8316 Holly Dr
Canton, MI 48187-4238
Phone: (734) 564-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1801602677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Staci Hissong — Owner/Therapist · (734) 564-0019
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address8316 Holly Dr, Canton, MI 48187-4238

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