| NPI | 1770174559 |
|---|---|
| Doing Business As | MIND BODY CO-OP |
| Entity Type | Organization |
| Authorized Contact | KELLIE RICE Owner/Clinical Director 312-279-9981 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
| Additional Taxonomies | 225600000X Dance Therapist |
| 363L00000X Nurse Practitioner | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103G00000X Clinical Neuropsychologist | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 163W00000X Registered Nurse | |
| 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) | |
| 171100000X Acupuncturist | |
| 204R00000X Electrodiagnostic Medicine | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2022-10-13 |