Mind & Body Reboot, Llc

LBN: Mind & Body Reboot, Llc
Mind & Body Reboot, Llc is an health care organization with primary practice located at 10 Gregory Ln , Chester Springs PA 19425-3314. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mind & Body Reboot, Llc can be contacted via phone (610) 465-7310, or through Cerrullo, Lisa via phone (610) 465-7310.

Contact Information

Primary practice address
10 Gregory Ln Chester Springs PA 19425-3314
Phone: (610) 465-7310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cerrullo, Lisa PHD
Phone: (610) 465-7310

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1760144901
LBN Legal business name Mind & Body Reboot, Llc
DBA Doing business as
Authorized official Cerrullo, Lisa PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2021
Last updated Oct 5th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760144901 NPPES
Pennsylvania Other 1041C0700X HIGHMARK

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