MIND BODY & SOUL BEHAVIORAL HEALTH PLLC NPI 1073255055

NPI Information

NPI: 1073255055
Provider Name: MIND, BODY & SOUL BEHAVIORAL HEALTH PLLC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
318 CLOISTER CT
CHAPEL HILL, NC
ZIP 27514
Phone: (919) 390-1398
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MIND, BODY & SOUL BEHAVIORAL HEALTH PLLC is a psychiatric/mental health clinical nurse specialist in Chapel Hill, NC. MIND, BODY & SOUL BEHAVIORAL HEALTH PLLC NPI is 1073255055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

318 CLOISTER CT
CHAPEL HILL, NC
ZIP 27514-276
Phone: (919) 390-1398
Fax: (984) 278-6614

The provider's authorized official is Jennifer Inez Mclean-russ .
The authorized official title is Pmh-np and has the following contact phone number (919) 638-4115.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 4/24/2024.

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	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: 4/28/2024

NPI Synchronization or Removal

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