Provider Demographics
NPI:1033001987
Name:MIND COMPASSION LLC
Entity type:Organization
Organization Name:MIND COMPASSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GIANINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:947-225-1846
Mailing Address - Street 1:8141 TIMBER TRL
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-3597
Mailing Address - Country:US
Mailing Address - Phone:947-225-1846
Mailing Address - Fax:
Practice Address - Street 1:8141 TIMBER TRL
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-3597
Practice Address - Country:US
Practice Address - Phone:947-225-1846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty