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Contact Information

STACI LEAVITT MIND & BODY INC
27 MCGOVERN DR
MELVILLE, NY11747-4258
 Phone: 516-433-1456
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Clinic/Center

261Q00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Health & Wellness Coach

171400000X
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STACI LEAVITT MIND BODY INC · (Female)

NPI Number 1548097819
Status Active
Credentials
Entity Individual
Enumeration date 09/19/2024
Last updated 09/19/2024 - More than a year 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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