# MIND & SOUL TELEWELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205495496
- **Authorized official:** TONI RAY (DIRECTOR)
- **Authorized official phone:** (443) 953-8922

## Contact information

- **Practice address:** 320 E TOWSONTOWN BLVD STE 201, TOWSON, MD 21286-5331
- **Practice address phone:** (443) 953-8922
- **Practice address fax:** (855) 955-1334
- **Mailing address:** 320 E TOWSONTOWN BLVD STE 201, TOWSON, MD 21286-5331
- **Mailing address phone:** (443) 953-8922
- **Mailing address fax:** (855) 955-1334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2019
- **Last updated:** 05/14/2024