| Mind, Body, Soul, Llc | |
|
1325 Us 45 S Suite C Mayfield KY 42066 | |
| (270) 705-1789 | |
| Not Available |
| Full Name | Mind, Body, Soul, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1325 Us 45 S, Mayfield, Kentucky |
| Authorized Official Name and Position | Kayla Jones (LPCC) |
| Authorized Official Contact | 2707051789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind, Body, Soul, Llc Po Box 754 Mayfield KY 42066-0034 Ph: () - | Mind, Body, Soul, Llc 1325 Us 45 S Suite C Mayfield KY 42066 Ph: (270) 705-1789 |
| NPI Number | 1033674254 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033674254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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