Organization
MIND & BODY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA DE LA CRUZ MA,LCMHCA,LPCA,NCC (CLINICAL MENTAL HEALTH COUNSELOR)
(980) 417-1387
Entity
Organization
Contact information
Practice address
885 GOLD HILL ROAD, 3004, FORT MILL, SC 29708
(803) 752-0106
Mailing address
885 GOLD HILL ROAD, 3004, FORT MILL, SC 29708
(803) 752-0106
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
03/04/2024
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