MIND-BODY MANAGEMENT LTD. NPI 1396987046

NPI Information

  • NPI: 1396987046
  • Provider Name: MIND-BODY MANAGEMENT, LTD.
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 108 S CHURCH ST
    MACUNGIE, PA
    ZIP 18062
  • Phone: (610) 462-5585

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NPI Details

MIND-BODY MANAGEMENT, LTD. is an adult mental health clinic center in Macungie, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MIND-BODY MANAGEMENT, LTD. NPI is 1396987046. The provider is registered as an organization entity type.

The provider's business location address is:

108 S CHURCH ST
MACUNGIE, PA
ZIP 18062-038
Phone: (610) 462-5585
Fax: (610) 966-5616

The provider's authorized official is Kelli J Deiaco .
The authorized official title is President and has the following contact phone number (610) 462-5585.

The enumeration date for this NPI number is 3/26/2009 and was last updated on 6/15/2009.

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
1261QM0850XClinic/CenterAdult Mental HealthPC004790PENNSYLVANIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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