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Contact Information

BODY SOUL WELL
30335 STONEWALL DR
LOCUST GROVE, VA22508-9617
 Phone: 760-530-8073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Athletic Trainer

2255A2300X
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for BODY SOUL WELL

NPI Number 1568224152
LBN Legal business name BODY SOUL WELL
Authorized official LEA LARAE - (HOLISTIC HEALTH PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2024
Last updated 01/29/2024 - About 2 years ago
Identifiers n/a
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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