Organization
MIND AND BODY CARE LLC
Active
Other names
TINA D MALONSON
Organization subpart
No
Provider details
NPI number
Authorized official
TINA D MALONSON NP (NURSE PRACTITONER/OWNER)
(985) 285-6843
Entity
Organization
Contact information
Practice address
1428 GAUSE BLVD STE 107, SLIDELL, LA 70458-2247
(985) 285-6843
Mailing address
1428 GAUSE BLVD STE 107, SLIDELL, LA 70458-2247
(985) 285-6843
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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