| NPI | 1366271512 |
|---|---|
| Doing Business As | BRAIN BODY SOUL THERAPY AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT CARSON RAYMOND President 918-236-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-08-13 |