Organization
BRAIN & MIND WELLNESS CLINIC
Active
Organization
BRAIN & MIND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HITEN SONI MD (OWNER/PROVIDER)
(847) 833-1782
Entity
Organization
Contact information
Practice address
5709 NW 64TH TER, KANSAS CITY, MO 64151-2382
(816) 326-7720
Mailing address
612 ARROWHEAD DR, LAWRENCE, KS 66049-1890
(847) 833-1782
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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