NPI | 1033096078 |
---|---|
Former Legal Business Name | MIND YOUR BUSINESS WELLNESS SPA |
Entity Type | Organization |
Authorized Contact | LAFADRA MACKLIN Nurse Practitioner 662-269-8980 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-08-20 |
Last Update Date | 2025-08-20 |