Mind and Muscle, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

221 Issued in CO

Legal business name

MIND AND MUSCLE, LLC

Practice address

315 Canyon Ave
Suite B.
Fort Collins, CO 80521-2677

Phone

(970) 988-7042

NPI assigned

Jul 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Paul Wilson Slaughter, LMFTNPI 1265450241

Title

Psychotherapist

Phone

(970) 988-7042

Specialties & licenses 1

Addresses

Other names 1

• Paul Slaughter, LMFT Doing business as

Practitioners 1

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

• Paul Wilson Slaughter, LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
  • NPI 1265450241
  NPD Authorized official

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1902246002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CANYON AVE",
            "address_2": "SUITE B.",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212677",
            "telephone_number": "970-988-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CANYON AVE",
            "address_2": "SUITE B.",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212677",
            "telephone_number": "970-988-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND MUSCLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "970-988-7042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Slaughter, LMFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.