MIND BODY SOUL COUNSELING SERVICES, LLC – NPI #1700432184
Clinic/Center

MIND BODY SOUL COUNSELING SERVICES, LLC is an AHC clinic located in CARROLLTON, GA. NPPES has assigned the NPI number 1700432184 to MIND BODY SOUL COUNSELING SERVICES, LLC on August 12, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIND BODY SOUL COUNSELING SERVICES, LLC below.

NPI Profile for
MIND BODY SOUL COUNSELING SERVICES, LLC

NPI Number
1700432184
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIND BODY SOUL COUNSELING SERVICES, LLC
Primary location
305 PRISM DR.
CARROLLTON, GA 30116-5596
Phone: (610) 751-1975 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TONYA KLEMMER
OWNER
Phone: (610) 751-1975
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.