MIND BODY & HEALTH LLC NPI 1093472581

NPI Information

  • NPI: 1093472581
  • Provider Name: MIND BODY & HEALTH, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 349 CENTER ST
    ASHTABULA, OH
    ZIP 44004
  • Phone: (440) 812-7108

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NPI Details

MIND BODY & HEALTH, LLC is a psychiatric/mental health nurse practitioner in Ashtabula, OH. MIND BODY & HEALTH, LLC NPI is 1093472581. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

349 CENTER ST
ASHTABULA, OH
ZIP 44004-901
Phone: (440) 812-7108

The provider's authorized official is Vanessa Reyes .
The authorized official title is Practice Manager and has the following contact phone number (440) 364-4741.

The enumeration date for this NPI number is 11/19/2021 and was last updated on 1/30/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13090711MEDICAIDOHIO
20477297MEDICAIDOHIO
3900170792OTHERPRIORITY HEALTH - VENDOR NUMBER
4NP11405OTHERSTATE LICENSE

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: 3/30/2025

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