Organization
MIND, BODY, SOUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA JONES ED.S (LPCC)
(270) 705-1789
Entity
Organization
Contact information
Practice address
1325 US 45 S, SUITE C, MAYFIELD, KY 42066
(270) 705-1789
Mailing address
PO BOX 754, MAYFIELD, KY 42066-0034
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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