# VILLAGES MIND AND BODY INSTITUTE

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

## Provider details

- **NPI number:** 1881148393
- **Authorized official:** MRS. TONYA MARIE HOUGHTON (OFFICE MANAGER)
- **Authorized official phone:** (352) 633-0614

## Contact information

- **Practice address:** 324 S US HIGHWAY 441, LADY LAKE, FL 32159-4377
- **Practice address phone:** (352) 633-0614
- **Practice address fax:** (866) 684-9990
- **Mailing address:** 324 S US HIGHWAY 441, LADY LAKE, FL 32159-4377
- **Mailing address phone:** (352) 633-0614
- **Mailing address fax:** (866) 684-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ADC-007797-2015 | FL | Yes |

## Other

- **Enumeration date:** 08/12/2016
- **Last updated:** 08/12/2016