Provider Demographics
NPI:1972282952
Name:BODY AND MIND HEALTHCARE PLLC
Entity Type:Organization
Organization Name:BODY AND MIND HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:SALINGS
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP
Authorized Official - Phone:270-246-0319
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:BEE SPRING
Mailing Address - State:KY
Mailing Address - Zip Code:42207-0373
Mailing Address - Country:US
Mailing Address - Phone:270-246-0319
Mailing Address - Fax:
Practice Address - Street 1:8816 KY HWY 259 N
Practice Address - Street 2:
Practice Address - City:BEE SPRING
Practice Address - State:KY
Practice Address - Zip Code:42207
Practice Address - Country:US
Practice Address - Phone:270-246-0319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty