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Contact Information

MINDBODYMOM, INC.
1636 W STEVANNA WAY
UNITED STATES
FLAGSTAFF, AZ86001
 Phone: 970-471-3981
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MINDBODYMOM INC · (Female)

NPI # 1538029988
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2025
Last updated 11/17/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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