| Mind Body Wellness Group Llc | |
|
735 Arlington Ave N Ste 205 St Petersburg FL 33701-3653 | |
| (727) 310-5520 | |
| Not Available |
| Full Name | Mind Body Wellness Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 735 Arlington Ave N Ste 205, St Petersburg, Florida |
| Authorized Official Name and Position | John Wallace Stone (AUTHORIZED MANAGER) |
| Authorized Official Contact | 7273105520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Wellness Group Llc 735 Arlington Ave N Ste 205 St Petersburg FL 33701-3653 Ph: (727) 310-5520 | Mind Body Wellness Group Llc 735 Arlington Ave N Ste 205 St Petersburg FL 33701-3653 Ph: (727) 310-5520 |
| NPI Number | 1750862017 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 08/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750862017 | NPI | - | NPPES |
| 1629433636 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW14906 (Florida) | Primary |
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