| NPI | 1073077111 |
|---|---|
| Doing Business As | MINDBODYOLOGY |
| Entity Type | Organization |
| Authorized Contact | SHALISS PADILLA Owner 833-444-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2022-03-24 |