Provider Demographics
NPI:1598643728
Name:THE NATURE OF MIND-BODY LLC
Entity type:Organization
Organization Name:THE NATURE OF MIND-BODY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-718-2311
Mailing Address - Street 1:321 OSPREY CIR
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:ID
Mailing Address - Zip Code:83836-9626
Mailing Address - Country:US
Mailing Address - Phone:906-458-5337
Mailing Address - Fax:
Practice Address - Street 1:620 WELLINGTON PL
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:ID
Practice Address - Zip Code:83836-8709
Practice Address - Country:US
Practice Address - Phone:208-718-2311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty