MIND BODY SPIRIT WELLNESS INC NPI 1508138561

NPI Information

NPI: 1508138561
Provider Name: MIND BODY SPIRIT WELLNESS INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2801 BUFORD HWY NE STE T65
ATLANTA, GA
ZIP 30329
Phone: (404) 478-9868
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MIND BODY SPIRIT WELLNESS INC is a medical specialty clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MIND BODY SPIRIT WELLNESS INC NPI is 1508138561. The provider is registered as an organization entity type.

The provider's business location address is:

2801 BUFORD HWY NE STE T65
ATLANTA, GA
ZIP 30329-145
Phone: (404) 478-9868

The provider's authorized official is Maiysha Tania Clairborne .
The authorized official title is President/ceo and has the following contact phone number (404) 478-9868.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 2/6/2012.

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	261QP2300X	Clinic/Center	Primary Care	055194	GEORGIA	No
2	261QM2500X	Clinic/Center	Medical Specialty	055194	GEORGIA	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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