Mind Body Connections Llc

LBN: Mind Body Connections Llc
Mind Body Connections Llc is an health care organization with primary practice located at 8000 Black Hawk Rd Ste 4 , Black Hawk SD 57718-3315. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Mind Body Connections Llc can be contacted via phone (605) 431-3388, or through Koupal, Jessica via phone (605) 431-3388.

Contact Information

Primary practice address
8000 Black Hawk Rd Ste 4 Black Hawk SD 57718-3315
Phone: (605) 431-3388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koupal, Jessica DNP-FNP, QMHP, PMHNP
Phone: (605) 431-3388

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X

Profile Details

NPI number 1295519213
LBN Legal business name Mind Body Connections Llc
DBA Doing business as
Authorized official Koupal, Jessica DNP-FNP, QMHP, PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2023
Last updated Sep 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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