| 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 | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-05-01 |