NPI: 1730671769
Provider Name: MIND, BODY, AND SOUL THERAPY LLC
Doing Business As: MIND, BODY, AND SOUL THERAPY LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization
Specialization: Adult Mental Health
Address:
2940 SUMMIT ST STE 2E
OAKLAND, CA
ZIP 94609
Phone: (510) 473-6062
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MIND, BODY, AND SOUL THERAPY LLC is an adult mental health clinic center in Oakland, CA. 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, AND SOUL THERAPY LLC NPI is 1730671769. The provider is registered as an organization entity type.
The provider Is Doing Business As Mind, Body, And Soul Therapy Llc.
The provider's business location address is:
2940 SUMMIT ST STE 2E
OAKLAND, CA
ZIP 94609-416
Phone: (510) 473-6062
The provider's authorized official is Tynisa D Snow .
The authorized official title is Member and has the following contact phone number (510) 473-6062.
The enumeration date for this NPI number is 6/5/2018 and was last updated on 6/5/2018.