Mind and Body Care LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND AND BODY CARE LLC

Practice address

1428 Gause Blvd Ste 107
Slidell, LA 70458-2247

Phone

(985) 285-6843

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By 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

Tina D Malonson, NPNPI 1902437270

Title

Nurse Practitoner/Owner

Phone

(985) 285-6843

Specialties & licenses 1

Addresses

Other names 1

• TINA D MALONSON Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Tina Duncan Malonson, APRN, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Slidell, LA
  • NPI 1902437270
  NPD Authorized official

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1902684608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 GAUSE BLVD STE 107",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582247",
            "telephone_number": "985-285-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 GAUSE BLVD STE 107",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582247",
            "telephone_number": "985-285-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "MALONSON",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE PRACTITONER/OWNER",
        "authorized_official_telephone_number": "985-285-6843",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TINA D MALONSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Josh Millet, CPO
• Michael Millet
• Lisa Milliet, M.S., PLPC
• Joshua Mills, MHS
• Roshantai Delwan Milton
• Mind Changing Inc
• Mindfully Whole Counseling and Health Services
• Mississippi Center for Advanced Medicine, PC (Louisiana Center for Advanced Medicine)
• Mississippi Center for Advanced Medicine, PC (Louisiana Center for Advanced Medicine)
• Shelley Mitchell, RN

• Psychiatric/Mental Health Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.