Organization
MIND BODY INSTITUTE OF THE PIEDMONT, PLLC
Active
Other names
Mind Body Institute Beyond
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L. MOUNT PSYD (PRESIDENT/CEO)
(336) 298-8303
Entity
Organization
Contact information
Practice address
450 W HANES MILL RD, SUITE NUMBER 224, WINSTON SALEM, NC 27105-9141
(336) 298-8303
Mailing address
882 MONTRACHET CT, LEWISVILLE, NC 27023-8369
(336) 298-8303
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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