National Provider Identifier Database

MIND BODY AND INNER SELF LLC
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

MIND-BODY AND INNER-SELF LLC
15206 123RD AVE
JAMAICA, NY11434-2311
Phone: 718-362-0615
Fax:
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for MIND-BODY AND INNER-SELF LLC

NPI Number 1932352085
Legal business name
LBN
MIND-BODY AND INNER-SELF LLC
Authorized official FELICIA IVEY-TOURE - (EXC DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/01/2008
Last updated 11/01/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 2635
  • NY License #: 2669
  • NY License #: 4419941

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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