Mind Body Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND BODY WELLNESS LLC

Practice address

1201 Liberty Pike Ste 201a
Franklin, TN 37067-5646

Phone

(000) 000-0000

NPI assigned

Jul 22, 2022

Last updated

Jul 27, 2022By 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

Jamie Vance

Title

Chief Executive Officer

Phone

(615) 715-5022

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mind Body Wellness Clinical Tennessee, PC

  • Psychiatry Physician
  • Franklin, TN
  • NPI 1245958123
  NPPES parent name
• Mind Body Wellness Iop Tennessee, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Franklin, TN
  • NPI 1336867217
  NPPES parent name

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1790410785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LIBERTY PIKE STE 201A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LIBERTY PIKE STE 201A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675646",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "615-715-5022"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Milon, LMSW
• Aaron Milstone, MD
• Mind Body Optimization Tennessee, L.L.C.
• Mind Body Wellness Clinical Tennessee, PC
• Mind Body Wellness Iop Tennessee, LLC
• Mindcare Health, LLC
• Mindcare Solutions Group, Inc.
• Mindcare Solutions of Colorado PC
• Mindcare Solutions of North Carolina PC
• Mindcare Solutions of Oklahoma, P.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Franklin, TN
• Providers in Franklin, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.