| Healing Mind Body And Soul Pllc | |
|
4265 Corn Silk Ln Woodbury MN 55129-2213 | |
| (651) 230-1900 | |
| Not Available |
| Full Name | Healing Mind Body And Soul Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4265 Corn Silk Ln, Woodbury, Minnesota |
| Authorized Official Name and Position | Bukola O Kuti (OWNER) |
| Authorized Official Contact | 6512301900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Mind Body And Soul Pllc 4265 Corn Silk Ln Woodbury MN 55129-2213 Ph: (651) 230-1900 | Healing Mind Body And Soul Pllc 4265 Corn Silk Ln Woodbury MN 55129-2213 Ph: (651) 230-1900 |
| NPI Number | 1639980808 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639980808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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