Transformed Mind And Body Llc

LBN: Transformed Mind And Body Llc
Transformed Mind And Body Llc is an health care organization with primary practice located at 824 17Th Ave S Ste 15 , Nampa ID 83651-4780. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Transformed Mind And Body Llc can be contacted via phone (407) 865-0101, or through Digaum, Joniruth via phone (407) 865-0101.

Contact Information

Primary practice address
824 17Th Ave S Ste 15 Nampa ID 83651-4780
Phone: (407) 865-0101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Digaum, Joniruth Nurse Practitioner (NP)
Phone: (407) 865-0101

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1063230449
LBN Legal business name Transformed Mind And Body Llc
DBA Doing business as
Authorized official Digaum, Joniruth Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2024
Last updated Oct 2nd, 2024 - about 2 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.

Request for update

Popular Providers