Mindbody Wellness, Llc in Aurora - Clinical
Mindbody Wellness, Llc - NPI 1992971675
Mindbody Wellness, Llc is a Clinical in Aurora, Missouri. Mindbody Wellness, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mindbody Wellness, Llc is 1992971675. The last update date is 2008-05-02.
Mindbody Wellness, Llc's current location address is 1407 S Elliott Ave, Aurora, Missouri. You can contact this provider via phone number 4174400826. The mailing address for Mindbody Wellness, Llc is 1407 S Elliott Ave, Aurora, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mindbody Wellness, Llc |
|---|---|
| Address | 1407 S Elliott Ave, Aurora, Missouri |
| Phone Number | 4174400826 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Willis-Center L. Stacey |
| Credentials | PH.D. |
| Telephone Number | 4174400826 |
NPI Number Detail
| NPI Number | 1992971675 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 1407 S Elliott Ave |
|---|---|
| City | Aurora |
| State | Missouri (MO) |
| Post Code | 656052103 |
| Phone Number | 4174400826 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2008007986 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the Mindbody Wellness, Llc's 1992971675?
The Mindbody Wellness, Llc's NPI (National Provider Identifier) Number is 1992971675. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mindbody Wellness, Llc's facilities are geographically located?
The facilities of Mindbody Wellness, Llc are physically situated at the following location: 1407 S Elliott Ave, Aurora, MO, 656052103.
What is Mindbody Wellness, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mindbody Wellness, Llc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did Mindbody Wellness, Llc receive its 1992971675 assignment from the Centers for Medicare & Medicaid Services?
The Mindbody Wellness, Llc was assigned its 1992971675 on 2008-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mindbody Wellness, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mindbody Wellness, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-02.