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MIND BODY WELLNESS PC NPI 1326208703


NPI Information

NPI: 1326208703
Provider Name: MIND BODY WELLNESS PC
Classification: Psychologist - 103T00000X
Entity Type: Organization

CLIA Number: 45D2224137

Address:
7557 RAMBLER RD
SUITE 814
DALLAS, TX
ZIP 75231
Phone: (214) 763-1985
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MIND BODY WELLNESS PC is a psychologist in Dallas, TX. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MIND BODY WELLNESS PC NPI is 1326208703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7557 RAMBLER RD
SUITE 814
DALLAS, TX
ZIP 75231-142
Phone: (214) 763-1985

The provider's authorized official is Kristi Roper .
The authorized official title is Partner and has the following contact phone number (214) 763-1985.

The CLIA number assigned to this NPI record is 45D2224137 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/10/2008.


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
1103T00000XPsychologistYes

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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