Mind Body Soul Weight Reduction Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIND BODY SOUL WEIGHT REDUCTION CLINIC

Doing business as

Mind Body Soul Weight Reduction Clinic

Practice address

296 Beauvoir Rd # 319
Biloxi, MS 39531-4051

Phone

(601) 347-1023

NPI assigned

Jan 9, 2023

Last updated

Jan 9, 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

Kimaka BowensNPI 1689067324

Title

Office Manager

Phone

(601) 347-1023

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mind Body Soul Weight Reduction Clinic Doing business as

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.

• Kimaka Bowens

  • Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1689067324
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1992419527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394660313",
            "telephone_number": "601-347-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 BEAUVOIR RD # 319",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314051",
            "telephone_number": "601-347-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SOUL WEIGHT REDUCTION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "BOWENS",
        "authorized_official_first_name": "KIMAKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-347-1023"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689067324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Soul Weight Reduction Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sam Miller, PA-S
• Tracie R Miller, RDH
• Selina-Quinnette Milligan
• Regina Clare Mills, MD
• Rosalyn Patricia Milton, CNS
• Mindful Co, LLC
• Casey Quinn Johnson Mino, PHARM.D
• Mino's Pharmacy Inc. (Woolmarket Pharmacy)
• Mino's Pharmacy Inc. (Woolmarket Pharmacy LTC)
• Vanessa Mirasol, DPM

• Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.