| Body Mind Spirit Therapy Center | |
|
1045 East Atlantic Avenue Suite 205 Delray Beach FL 33483 | |
| (561) 727-6858 | |
| (561) 330-4264 |
| Full Name | Body Mind Spirit Therapy Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1045 East Atlantic Avenue, Delray Beach, Florida |
| Authorized Official Name and Position | Kelly Pierce Pineda (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 5617276858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Body Mind Spirit Therapy Center 1045 East Atlantic Avenue Suite 205 Delray Beach FL 33483 Ph: (561) 727-6858 | Body Mind Spirit Therapy Center 1045 East Atlantic Avenue Suite 205 Delray Beach FL 33483 Ph: (561) 727-6858 |
| NPI Number | 1164804977 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164804977 | NPI | - | NPPES |
| 766173800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1988 (Florida) | Primary |
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