| NPI | 1407425580 |
|---|---|
| Doing Business As | MIND BODY & SOUL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DEANNA OSBORN Owner 909-303-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2025-04-18 |