MIND & BODY COUNSELING SOLUTIONS NPI 1437617016

NPI Information

NPI: 1437617016
Provider Name: MIND & BODY COUNSELING SOLUTIONS
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
34 FAIRLAWN AVE
BOARDMAN, OH
ZIP 44512
Phone: (330) 397-8001
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MIND & BODY COUNSELING SOLUTIONS is a mental health counselor in Boardman, OH. MIND & BODY COUNSELING SOLUTIONS NPI is 1437617016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34 FAIRLAWN AVE
BOARDMAN, OH
ZIP 44512-561
Phone: (330) 397-8001

The provider's authorized official is Jacob M Telego .
The authorized official title is Psychotherapist/ceo and has the following contact phone number (330) 397-8001.

The enumeration date for this NPI number is 3/3/2019 and was last updated on 6/20/2019.

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
1	101YM0800X	Counselor	Mental Health			Yes

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
1	0215964	MEDICAID	OHIO
2	0344066	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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