Provider Type Icon

MIND BODY AND SOUL THERAPY LLC NPI 1730671769


NPI Information

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
Get Directions

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.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health80925CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.