Organization
INTEGRATING BODY MIND AND LIFE, LLC
Active
Other names
IBML, LLC, IBML. LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIREILLE ETIENNE LPC, LMHC (OWNER)
(678) 612-5587
Entity
Organization
Contact information
Practice address
2302 PARKLAKE DRIVE NE, SUITE 425, ATLANTA, GA 30345-2966
(678) 612-5587
(866) 261-5260
Mailing address
2302 PARKLAKE DRIVE NE, SUITE 425, ATLANTA, GA 30345-2966
(678) 612-5587
(866) 261-5260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11824149
CAQH
GA
05
—
476557646A
—
GA
Enumeration date
02/18/2008
Last updated
08/14/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up