Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Mental Health |
101YM0800X |
| NPI Number | 1255931051 |
| LBN Legal business name | MIND BODY & SOL COUNSELING AND CONSULTATION |
| Authorized official | SOL EVANS - (CLINICAL THERAPIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/30/2020 |
| Last updated | 01/07/2022 - About 4 years ago |
| Identifiers | n/a |
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