| The Mind And Body Clinic | |
|
3804 S Cox Rd. Springfield MO 65807-8603 | |
| (417) 812-6850 | |
| Not Available |
| Full Name | The Mind And Body Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3804 S Cox Rd., Springfield, Missouri |
| Authorized Official Name and Position | Elizabeth Brooke Martin (OWNER/CLINICIAN) |
| Authorized Official Contact | 4176555847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind And Body Clinic 3804 S Cox Rd. Springfield MO 65807-8603 Ph: (417) 812-6850 | The Mind And Body Clinic 3804 S Cox Rd. Springfield MO 65807-8603 Ph: (417) 812-6850 |
| NPI Number | 1164187027 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164187027 | NPI | - | NPPES |
| 2019031487 | Other | MO | COMMITTEE FOR SOCIAL WORKERS |
| 2008034202 | Other | MO | COMMITTEE FOR PROFESSIONAL COUNSELORS |
| 2020005419 | Other | MO | COMMITTEE FOR SOCIAL WORKERS |
| 2018013556 | Other | MO | MO LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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