Body Mind Healing LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC008911 Issued in 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

Last updated

Jul 11, 2017By 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

Ricardo Villalobos, LPC

Title

Owner/Psychotherapist

Phone

(202) 297-2825

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nannette M Brannon, LPC

  • Professional Counselor
  • Saint Marys, GA
  • NPI 1841446663
  NPD (past)
• Megan E. Lavery, LPC

  • Mental Health Counselor
  • Saint Marys, GA
  • NPI 1154859957
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1578085643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E BAY AVE",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485228",
            "telephone_number": "202-297-2825",
            "fax_number": "912-882-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 OSBORNE RD STE L",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589103",
            "telephone_number": "912-673-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MIND HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "202-297-2825",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Blackmon, IDC
• Joshua Marion Blackmon, M.D.
• Kelsey Blakney
• William Dale Blanton, LPC
• Anne Blashinsky, RBT
• Benjamin A Bograd, D.O.
• Christian Bianca Booker
• Erin E Borowski, AA
• Britney Boucher, RBT
• Whitney Burkhalter Bounds, MSW

• Mental Health Counselor in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.