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BODYMIND THERAPEUTICS INC. NPI 1427374024


NPI Information

NPI: 1427374024
Provider Name: BODYMIND THERAPEUTICS, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
415 DIXIE ST
CARROLLTON, GA
ZIP 30117
Phone: (770) 838-9806
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BODYMIND THERAPEUTICS, INC. is a professional counselor in Carrollton, GA. BODYMIND THERAPEUTICS, INC. NPI is 1427374024. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 DIXIE ST
CARROLLTON, GA
ZIP 30117-921
Phone: (770) 838-9806
Fax: (770) 834-9188

The provider's authorized official is Theodore H Ceccoli .
The authorized official title is Owner and has the following contact phone number (770) 838-9806.

The enumeration date for this NPI number is 4/8/2010 and was last updated on 4/8/2010.


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
1101YP2500XCounselorProfessionalLPC5686GEORGIAYes

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: 5/5/2024
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