| Body Mind Soul Llc | |
|
5985 West Main Street 814 Kalamazoo MI 49009 | |
| (269) 615-8639 | |
| Not Available |
| Full Name | Body Mind Soul Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5985 West Main Street, Kalamazoo, Michigan |
| Authorized Official Name and Position | Patricia A Jorgenson (OWNER/THERAPIST) |
| Authorized Official Contact | 2696158639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Body Mind Soul Llc P.o. Box 20056 Kalamazoo MI 49019 Ph: (269) 615-8639 | Body Mind Soul Llc 5985 West Main Street 814 Kalamazoo MI 49009 Ph: (269) 615-8639 |
| NPI Number | 1588072763 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588072763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1538351150 (Michigan) | Primary |
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