| Mind, Body, Soul Therapy Services, Inc. | |
|
1612 17th Ave Delano CA 93215-1505 | |
| (661) 514-9636 | |
| Not Available |
| Full Name | Mind, Body, Soul Therapy Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1612 17th Ave, Delano, California |
| Authorized Official Name and Position | Araceli Bejar Lua (CEO) |
| Authorized Official Contact | 6615149636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind, Body, Soul Therapy Services, Inc. Po Box 932 Delano CA 93216-0932 Ph: (661) 514-9636 | Mind, Body, Soul Therapy Services, Inc. 1612 17th Ave Delano CA 93215-1505 Ph: (661) 514-9636 |
| NPI Number | 1801563689 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 09/24/2022 |
| Certification Date | 09/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801563689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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