Mind-Body Wellness, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

023513 Issued in LA

Legal business name

MIND-BODY WELLNESS, LLC

Practice address

1213 Texas Ave
Alexandria, LA 71301-4838

Phone

(318) 625-2789

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David C Vajnar, M.D.

Title

Owner

Phone

(318) 625-2789

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley F Kirzner, D.C.

  • Chiropractor
  • Alexandria, LA
  • NPI 1184767493
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1649703356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 TEXAS AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014838",
            "telephone_number": "318-625-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 TEXAS AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014838",
            "telephone_number": "318-625-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-BODY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "VAJNAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-625-2789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "023513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Mills, MHP
• Misty Lynn Millsap, RN
• Gwen Ruth Milo, M.ED. EDUCATION
• Christy Min
• Mind Care, LLC
• Mindful Pathways LLC
• Laqaaron Mingo
• Tyronicca Mingo
• Minimally Invasive Image Guided Specialists, LLC
• Teshira Gray Minor, BS IN EDUCATION

• General Practice Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.