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Organization

MIND BODY THERAPY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE TUBBS TUBBS (OWNER)
(662) 312-6698
Entity
Organization

Contact information

Practice address
124 5TH ST N, COLUMBUS, MS 39701-4522
(662) 889-7923
Mailing address
3290 MILITARY RD, COLUMBUS, MS 39705-9172
(662) 312-6698

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200007504
MS
01
5809C
LICENSE
AL
01
C10714
LICENSE
MS
Enumeration date
02/17/2026
Last updated
02/17/2026
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