Organization Active NPI

Mind,Body & Soul, Inc.

  • Community/Behavioral Health Agency
  • San Antonio, TX
National Provider Identifier
1437515848
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10715 Issued in TX
Legal business name
MIND,BODY & SOUL, INC.
Practice address
6039 Lakeview Dr
San Antonio, TX 78244-1689
Phone
(210) 551-8244
Fax
(210) 263-9765
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Albert Bryan, MSW/LCDC
Title
Counselor
Phone
(210) 551-8244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10715 TX Primary

Addresses

Primary practice location

6039 Lakeview Dr
San Antonio, TX 78244-1689

Mailing address

6039 Lakeview Dr
San Antonio, TX 78244-1689
Phone (210) 551-8244

Other names 1

  • Mind, Body & Soul of New Orleans, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mind Body Soul of New Orleans Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1437515848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 LAKEVIEW DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441689",
            "telephone_number": "210-551-8244",
            "fax_number": "210-263-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 LAKEVIEW DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441689",
            "telephone_number": "210-551-8244",
            "fax_number": "210-263-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND,BODY & SOUL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "210-551-8244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW/LCDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "10715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind, Body & Soul of New Orleans, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.