Mindbodysoulworks, Llc

LBN: Mindbodysoulworks, Llc
Mindbodysoulworks, Llc is an health care organization with primary practice located at 4190 E Lake Rd , Erie PA 16511-1355. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mindbodysoulworks, Llc can be contacted via phone (814) 616-2858, or through Rudolph, Mary via phone (814) 616-2858.

Contact Information

Primary practice address
4190 E Lake Rd Erie PA 16511-1355
Phone: (814) 616-2858
Fax: (814) 616-2860
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, Mary BSN, RN, LCSW
Phone: (814) 616-2858

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1205309531
LBN Legal business name Mindbodysoulworks, Llc
DBA Doing business as
Authorized official Rudolph, Mary BSN, RN, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2019
Last updated Jan 9th, 2019 - about 7 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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