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Contact Information

MIND-BODY AND INNER-SELF LLC
15206 123RD AVE
JAMAICA, NY11434-2311
 Phone: 718-362-0615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

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

NPI Number 1932352085
LBN Legal business name MIND-BODY AND INNER-SELF LLC
Authorized official FELICIA IVEY-TOURE - (EXC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2008
Last updated 11/01/2008 - About 18 years ago
Identifiers
NY License # 2635
NY License # 2669
NY License # 4419941
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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