Mind-Body and Inner-Self LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2635 Issued in NY

Legal business name

MIND-BODY AND INNER-SELF LLC

Practice address

15206 123Rd Ave
Jamaica, NY 11434-2311

Phone

(718) 362-0615

NPI assigned

Nov 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Felicia Ivey-Toure, CASAC,LMHCNPI 1285694927

Title

Exc Director

Phone

(718) 362-0615

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Felicia Ursula Ivey-Toure, MA,CASAC, LMHC

  • Mental Health Counselor
  • Kew Gardens, NY
  • NPI 1285694927
  NPD (past) Authorized official

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

{
    "created_epoch": "1225497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1932352085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15206 123RD AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342311",
            "telephone_number": "718-362-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15206 123RD AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342311",
            "telephone_number": "718-362-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-BODY AND INNER-SELF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-01",
        "last_updated": "2008-11-01",
        "status": "A",
        "authorized_official_last_name": "IVEY-TOURE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "EXC DIRECTOR",
        "authorized_official_telephone_number": "718-362-0615",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CASAC,LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "2669",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "2635",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "4419941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telise Merica Millingen, MD
• Irlande Milord
• Esmedeline Minaya
• Shaquana Mincey, RN
• Mind View New York Mental Health Counseling PLLC
• Maxine Alycia Miner, M.S., CCC-SLP
• Phyllis Marie Miner, LMSW
• Alma Minguez
• Minor Surgical Center
• Gibran Mir

• Community/Behavioral Health Agency in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; 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.