Mind Body Wellness Pc

LBN: Mind Body Wellness Pc
Mind Body Wellness Pc is an health care organization with primary practice located at 17304 Preston Rd Ste 800 , Dallas TX 75252-5645. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Mind Body Wellness Pc can be contacted via phone (972) 849-8987, or through Roper, Kristi via phone (214) 763-1985.

Contact Information

Primary practice address
17304 Preston Rd Ste 800 Dallas TX 75252-5645
Phone: (972) 849-8987
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roper, Kristi PH.D.
Phone: (214) 763-1985

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1710929450
LBN Legal business name Mind Body Wellness Pc
DBA Doing business as
Authorized official Roper, Kristi PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 22nd, 2021 - about 4 years ago

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 1710929450 NPPES
Texas MEDICAID 178166801

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