# MIND & BODY HEALING COLLECTIVE, LLC

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

## Provider details

- **NPI number:** 1568196459
- **Authorized official:** MAISIE RILEY (MANAGER)
- **Authorized official phone:** (785) 917-9473

## Contact information

- **Practice address:** 2619 W 6TH ST STE C, LAWRENCE, KS 66049-4300
- **Practice address phone:** (785) 917-9473
- **Mailing address:** 2619 W 6TH ST STE C, LAWRENCE, KS 66049-4300
- **Mailing address phone:** (785) 917-9473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2022
- **Last updated:** 05/28/2025