Anew Mind Body Connect LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ANEW MIND BODY CONNECT LLC

Practice address

1121 Wandering Willow Way
Loxahatchee, FL 33470-6132

Phone

(866) 738-0854

Fax

(866) 598-3579

NPI assigned

Oct 21, 2021

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlene H Williams

Title

Cfo-Co Owner

Phone

(561) 758-9357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1437812807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WANDERING WILLOW WAY",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334706132",
            "telephone_number": "561-758-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WANDERING WILLOW WAY",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334706132",
            "telephone_number": "866-738-0854",
            "fax_number": "866-598-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW MIND BODY CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO-CO OWNER",
        "authorized_official_telephone_number": "561-758-9357"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.