Mind Body & Soul Behavioral Health and Wellness LLC
NPI #1154954634 in Rock Hill, South Carolina
Provider Information
- NPI Number
- 1154954634
- Entity Type
- Organization
- Organization Name
- Mind Body & Soul Behavioral Health and Wellness LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 12, 2020
- Last Updated
- Feb 12, 2020
Practice Location
- Address
- 1365 EBENEZER RD
- City
- Rock Hill
- State
- South Carolina
- ZIP Code
- 29732-2336
- Phone
- (803) 708-7556
Authorized Official
- Name
- SHUKAIRO M BAKER, LCSW, LISW-CP, LCAS
- Title
- CEO
- Phone
- (980) 309-8508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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