Villages Mind and Body Institute

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADC-007797-2015 Issued in FL

Legal business name

VILLAGES MIND AND BODY INSTITUTE

Practice address

324 S US Highway 441
Lady Lake, FL 32159-4377

Phone

(352) 633-0614

Fax

(866) 684-9990

NPI assigned

Aug 12, 2016

Last updated

Aug 12, 2016By 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

Mrs. Tonya Marie Houghton

Title

Office Manager

Phone

(352) 633-0614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1881148393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594377",
            "telephone_number": "352-633-0614",
            "fax_number": "866-684-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S US HIGHWAY 441",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594377",
            "telephone_number": "352-633-0614",
            "fax_number": "866-684-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGES MIND AND BODY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "HOUGHTON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-633-0614",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-007797-2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jagrutkumar Kirankumar Vyas, PHARMD

• Addiction (Substance Use Disorder) Counselor in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.