MIND BODY CONNECTIONS LLC NPI 1295519213

NPI Information

NPI: 1295519213
Provider Name: MIND BODY CONNECTIONS LLC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
8000 BLACK HAWK RD STE 4
BLACK HAWK, SD
ZIP 57718
Phone: (605) 431-3388
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MIND BODY CONNECTIONS LLC is a psychiatric/mental health clinical nurse specialist in Black Hawk, SD. MIND BODY CONNECTIONS LLC NPI is 1295519213. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8000 BLACK HAWK RD STE 4
BLACK HAWK, SD
ZIP 57718-315
Phone: (605) 431-3388

The provider's authorized official is Jessica Koupal .
The authorized official title is Business Owner and has the following contact phone number (605) 431-3388.

The enumeration date for this NPI number is 8/21/2023 and was last updated on 9/7/2023.

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	363L00000X	Nurse Practitioner				No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health			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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