Body Mind Healing LLC
Organization Active NPI Mental Health Counselor · Saint Marys, GA
NPI 1578085643 · NPPES record last updated Jul 11, 2017
Key facts
- NPI
- 1578085643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC008911 (GA)
- Legal business name
- BODY MIND HEALING LLC
- Practice address
- 1712 Osborne Rd Ste L
Saint Marys, GA 31558-9103 - Phone
- (912) 673-9901
- NPI assigned
- Jul 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Ricardo Villalobos, LPC
- Title
- Owner/Psychotherapist
- Phone
- (202) 297-2825
Practitioners 2
-
Nannette M Brannon, LPC
-
Megan E. Lavery, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | LPC008911 | GA | Yes |
Addresses
Primary practice location
1712 Osborne Rd Ste L
Saint Marys, GA 31558-9103
Mailing address
602 E Bay Ave
Kingsland, GA 31548-5228
Phone (202) 297-2825
Other providers in Saint Marys, GA
- Jonathan Blackmon
- Joshua Marion Blackmon
- Kelsey Blakney
- William Dale Blanton
- Anne Blashinsky
- Benjamin A Bograd
- Christian Bianca Booker
- Erin E Borowski
- Britney Boucher
- Whitney Burkhalter Bounds
All providers in Saint Marys, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.