IMIND INTEGRATION HEALTH LLC NPI 1174029474

NPI Information

  • NPI: 1174029474
  • Provider Name: IMIND INTEGRATION HEALTH LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: LIFE SKILLZ
  • Address: 4703 OLD SOPER RD STE R1
    SUITLAND, MD
    ZIP 20746
  • Phone: (703) 395-2109

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NPI Details

IMIND INTEGRATION HEALTH LLC is a rehabilitation clinic center in Suitland, MD. IMIND INTEGRATION HEALTH LLC NPI is 1174029474. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Skillz.

The provider's business location address is:

4703 OLD SOPER RD STE R1
SUITLAND, MD
ZIP 20746-030
Phone: (703) 395-2109

The provider's authorized official is Steven Flynn .
The authorized official title is Owner and has the following contact phone number (703) 395-2199.

The enumeration date for this NPI number is 4/4/2018 and was last updated on 4/4/2018.

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
1261QR0400XClinic/CenterRehabilitationBH000548MARYLANDYes

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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