Mind Body Connection Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND BODY CONNECTION HEALTH AND WELLNESS LLC

Practice address

1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045

Phone

(888) 509-2113

Fax

(888) 234-8102

NPI assigned

May 23, 2022

Last updated

Jan 8, 2024By 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

Ms. Lashaun Perry, PMHNP-BCNPI 1649880592

Title

Owner

Phone

(888) 509-2113

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, and the practitioner matching its NPPES authorized official.

• Lashaun Perry

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1649880592
  NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1891433579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964795",
            "telephone_number": "888-509-2113",
            "fax_number": "888-234-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965045",
            "telephone_number": "888-509-2113",
            "fax_number": "888-234-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY CONNECTION HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "LASHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-509-2113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Mills, MC, LAC
• Kris Milne
• Laura Milstrey, BCBA
• Lauren I. Mims, P.T.
• Lida A Mina, M.D
• Mindful Bloom Counseling Services LLC
• Mindful Core Counseling, PLLC
• Mindful Home Health PLLC (Mindful Home Health)
• Mindgardenrx, LLC
• Mindhaven Psychiatry, LLC

• Psychiatric/Mental Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.