Mind Body Splendid Sun
NPI #1104638519 in Falling Waters, West Virginia
Provider Information
- NPI Number
- 1104638519
- Entity Type
- Organization
- Organization Name
- Mind Body Splendid Sun
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 22, 2025
- Last Updated
- Feb 2, 2025
Practice Location
- Address
- 185 MONTREAL WAY
- City
- Falling Waters
- State
- West Virginia
- ZIP Code
- 25419-0109
- Phone
- (681) 242-3799
Authorized Official
- Name
- MICHEAL LEE
- Title
- MANAGER CREDENTIALING
- Phone
- (786) 791-7529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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