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Organization

STACI LEAVITT MIND & BODY INC

Active
Other names
Staci Leavitt Mind & Body Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MISS STACI LEAVITT DAVIDSON RD (PRESIDENT)
(516) 433-1456
Entity
Organization

Contact information

Practice address
27 MCGOVERN DR, MELVILLE, NY 11747-4258
(516) 433-1456
Mailing address
27 MCGOVERN DR, MELVILLE, NY 11747-4258
(516) 433-1456

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
133V00000X
Registered Dietitian
Primary
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
171400000X
Health & Wellness Coach
261Q00000X
Clinic/Center

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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