| NPI | 1144024498 |
|---|---|
| Doing Business As | MIND BODY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | DANIELLE POORE Licensed Mental Health Counselor 631-312-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |