MIND & BODY WELLNESS CENTER LLC NPI 1740977792

NPI Information

NPI: 1740977792
Provider Name: MIND & BODY WELLNESS CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2924 KNIGHT ST STE 408
SHREVEPORT, LA
ZIP 71105
Phone: (318) 220-1311
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MIND & BODY WELLNESS CENTER, LLC is a mental health (including community mental health center) clinic center in Shreveport, LA. MIND & BODY WELLNESS CENTER, LLC NPI is 1740977792. The provider is registered as an organization entity type.

The provider's business location address is:

2924 KNIGHT ST STE 408
SHREVEPORT, LA
ZIP 71105-413
Phone: (318) 220-1311
Fax: (318) 220-1377

The provider's authorized official is Deangela Kachan Francis-johnson .
The authorized official title is Owner and has the following contact phone number (318) 518-4466.

The enumeration date for this NPI number is 4/20/2023 and was last updated on 4/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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