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MIND & BODY HEALTHCARE LLC NPI 1770122277


NPI Information

NPI: 1770122277
Provider Name: MIND & BODY HEALTHCARE LLC

Doing Business As: JON PERRY MPAS C-PA

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1700 N UNION AVE
ROSWELL, NM
ZIP 88201
Phone: (575) 489-4750
Get Directions

MIND & BODY HEALTHCARE LLC is a clinic center in Roswell, NM. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MIND & BODY HEALTHCARE LLC NPI is 1770122277. The provider is registered as an organization entity type.
The provider Is Doing Business As Jon Perry Mpas C-pa.

The provider's business location address is:

1700 N UNION AVE
ROSWELL, NM
ZIP 88201-267
Phone: (575) 489-4750
Fax: (575) 586-4414

The provider's authorized official is Jon E Perry .
The authorized official title is Owner and has the following contact phone number (575) 489-4750.

The enumeration date for this NPI number is 12/31/2019 and was last updated on 1/8/2020.


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
1261Q00000XClinic/CenterYes
2261QH0100XClinic/CenterHealth ServiceNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
6261QP2300XClinic/CenterPrimary CareNo

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: 4/28/2024

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.