Mind Body Therapy, LLC

NPI #1033704382 in Wichita, Kansas

Provider Information

NPI Number: 1033704382
Entity Type: Organization
Organization Name: Mind Body Therapy, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 8, 2021
Last Updated: Mar 16, 2021

Practice Location

Address: 123 N TYLER RD STE 300
City: Wichita
State: Kansas
ZIP Code: 67212-3726
Phone: (316) 869-2230

Authorized Official

Name: NIKKI M DENNIS
Title: CREDENTIALING AGENT
Phone: (316) 308-8273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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