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Contact Information

MIND BODY CONNECTION, INC
493 BLACKWELL RD
SUITE 203
WARRENTON, VA20186
 Phone: 571-364-3095
 Fax: 540-341-7091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MIND BODY CONNECTION, INC

NPI Number 1134554793
LBN Legal business name MIND BODY CONNECTION, INC
Authorized official ANUPAMA KOMMU - (LICENSED CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2013
Last updated 10/29/2019 - About 7 years ago
Identifiers
VA License # 0810004824
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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