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MIND & BODY CHRISTIAN THERAPIST GROUP NPI 1225421076


NPI Information

NPI: 1225421076
Provider Name: MIND & BODY CHRISTIAN THERAPIST GROUP
Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 11D2156578

Address:
3007 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144
Phone: (678) 596-5385
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MIND & BODY CHRISTIAN THERAPIST GROUP is a counselor in Kennesaw, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MIND & BODY CHRISTIAN THERAPIST GROUP NPI is 1225421076. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3007 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144-827
Phone: (678) 596-5385

The provider's authorized official is Brandon Gamble Browne .
The authorized official title is Counselor/president and has the following contact phone number (678) 596-5385.

The CLIA number assigned to this NPI record is 11D2156578 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2015 and was last updated on 3/20/2015.


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
1225700000XMassage TherapistMT009630GEORGIANo
2101Y00000XCounselorLPC008296GEORGIAYes

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

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