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THE MIND AND BODY CONSORTIUM LLC. NPI 1316186539


NPI Information

NPI: 1316186539
Provider Name: THE MIND AND BODY CONSORTIUM, LLC.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 08D2098803

Address:
156 S STATE ST
DOVER, DE
ZIP 19901
Phone: (302) 674-2380
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THE MIND AND BODY CONSORTIUM, LLC. is a psychiatry psychiatry neurology in Dover, DE. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. THE MIND AND BODY CONSORTIUM, LLC. NPI is 1316186539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

156 S STATE ST
DOVER, DE
ZIP 19901-314
Phone: (302) 674-2380
Fax: (302) 674-1299

The provider's authorized official is Lisa A Leidy .
The authorized official title is Owner and has the following contact phone number (302) 674-2380.

The CLIA number assigned to this NPI record is 08D2098803 - other - mental health facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 2/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5364S00000XClinical Nurse SpecialistNo
6364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultNo
7363L00000XNurse PractitionerNo
82084P0800XPsychiatry & NeurologyPsychiatryYes

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: 4/28/2024

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