| Mind Body And Spirit Counseling Services, Llc | |
|
241 W Quail Dr Palmdale CA 93551-2943 | |
| (714) 803-0268 | |
| Not Available |
| Full Name | Mind Body And Spirit Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 241 W Quail Dr, Palmdale, California |
| Authorized Official Name and Position | Woodrow Anthony Roeback (OWNER) |
| Authorized Official Contact | 7029179309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body And Spirit Counseling Services, Llc 241 W Quail Dr Palmdale CA 93551-2943 Ph: (714) 803-0268 | Mind Body And Spirit Counseling Services, Llc 241 W Quail Dr Palmdale CA 93551-2943 Ph: (714) 803-0268 |
| NPI Number | 1194159004 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194159004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CI0077 (Nevada) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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