| 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 Psychiatric/Mental Health | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-08-06 |