Integrative Mind Body Therapy, LLC
NPI 1407594153ActiveOrganization· Counselor, Professional· Charleston, SC
Counselor, Professional in Charleston, South Carolina, registered in NPPES in May 2022. The authorized official on file is Lisa Fracica, LCPC, Owner And Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407594153 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2022 |
| Last updated in NPPES | Nov 1, 2023 |
| Certified by provider | Nov 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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