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Organization
MIND BODY WORKS TELEHEALTH LLC
Active
Organization
MIND BODY WORKS TELEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA YOUNG NP (OWNER/OPERATOR)
(314) 330-6959
Entity
Organization
Contact information
Practice address
8701 SANTA BELLA DR, HAZELWOOD, MO 63042-2917
(314) 330-6959
Mailing address
8701 SANTA BELLA DR, HAZELWOOD, MO 63042-2917
(314) 330-6959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
09/24/2026
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