Organization
MIND, BODY, AND SOUL THERAPY LLC
Active
Other names
Mind, Body, and Soul Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYNISA D SNOW LCSW (MEMBER)
(510) 473-6062
Entity
Organization
Contact information
Practice address
2940 SUMMIT ST STE 2E, OAKLAND, CA 94609-3416
(510) 473-6062
Mailing address
PO BOX 17, UNION CITY, CA 94587-0017
(510) 473-6062
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
80925
CA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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