| NPI | 1508540956 |
|---|---|
| Doing Business As | MIND AND BODY WELLNESS, LLC. |
| Entity Type | Organization |
| Authorized Contact | LUCINDA J SHEPHERD Owner 479-409-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-08-06 |