Provider Demographics
NPI:1518405067
Name:CENTER FOR MIND BODY HEALTH
Entity Type:Organization
Organization Name:CENTER FOR MIND BODY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:305-772-3331
Mailing Address - Street 1:10689 N KENDALL DR STE 211
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1594
Mailing Address - Country:US
Mailing Address - Phone:305-772-3331
Mailing Address - Fax:
Practice Address - Street 1:10689 N KENDALL DR STE 211
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1594
Practice Address - Country:US
Practice Address - Phone:305-772-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-04
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty