MOONBROOK MIND & BODY INTEGRATIVE SERVICES INCORPORATED NPI 1376173401

NPI Information

MOONBROOK MIND & BODY INTEGRATIVE SERVICES INCORPORATED is a mental health (including community mental health center) clinic center in Texarkana, AR. MOONBROOK MIND & BODY INTEGRATIVE SERVICES INCORPORATED NPI is 1376173401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4613 PARKWAY DR STE 7
TEXARKANA, AR
ZIP 71854-191
Phone: (870) 330-4095
Fax: (844) 706-5741

The provider's authorized official is Jessica Kennington .
The authorized official title is Social Worker and has the following contact phone number (870) 330-4095.

The enumeration date for this NPI number is 1/16/2020 and was last updated on 1/11/2023.

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:

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