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Organization
LOUISIANA MIND BODY & HEALTH LLC
Active
Organization
LOUISIANA MIND BODY & HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL THOMAS (PRESIDENT)
(318) 216-1010
Entity
Organization
Contact information
Practice address
5416 HIGHWAY 28 E, PINEVILLE, LA 71360-4756
(318) 216-1010
(318) 302-0504
Mailing address
5416 HIGHWAY 28 E, PINEVILLE, LA 71360-4756
(318) 216-1010
(318) 302-0504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TH0100X
Health Service Psychologist
—
NULL
103TH0100X
Health Service Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/27/2024
Last updated
03/31/2025
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