# WELL BRAIN AND BODY MENTAL HEALTH AND NURSING CORPORATION

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

## Provider details

- **NPI number:** 1821850769
- **Authorized official:** LEROY SCOTT PMHNP (OWNER)
- **Authorized official phone:** (800) 377-5668

## Contact information

- **Practice address:** 353 LEXINGTON AVE FL 4, NEW YORK, NY 10016-0941
- **Practice address phone:** (800) 378-5668
- **Practice address fax:** (888) 778-3902
- **Mailing address:** 1001 WILSHIRE BLVD \# 2235, LOS ANGELES, CA 90017-2415
- **Mailing address phone:** (800) 378-5668
- **Mailing address fax:** (888) 778-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2024
- **Last updated:** 01/26/2024