Body And Mindfully Healthy, Llc

LBN: Body And Mindfully Healthy, Llc
Body And Mindfully Healthy, Llc is an health care organization with primary practice located at 210 Calhoun St , Galax VA 24333-3806. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Body And Mindfully Healthy, Llc can be contacted via phone (276) 293-1235, or through Peddy, Melissa Sue Ann via phone (276) 293-1235.

Contact Information

Primary practice address
210 Calhoun St Galax VA 24333-3806
Phone: (276) 293-1235
Fax: (540) 613-1831
Website:
Map and Directions
Authorized official contact:
Name: Peddy, Melissa Sue Ann Licensed Professional Counselor (LPC)
Phone: (276) 293-1235

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1952987034
LBN Legal business name Body And Mindfully Healthy, Llc
DBA Doing business as
Authorized official Peddy, Melissa Sue Ann Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2021
Last updated Mar 13th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952987034 NPPES
Virginia MEDICAID 1538559588

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