Provider Demographics
NPI:1124305313
Name:THE BODY WITHIN LLC
Entity type:Organization
Organization Name:THE BODY WITHIN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOKOLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:925-820-6757
Mailing Address - Street 1:199 E LINDA MESA AVE.
Mailing Address - Street 2:SUITE 8
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94507
Mailing Address - Country:US
Mailing Address - Phone:925-820-6757
Mailing Address - Fax:
Practice Address - Street 1:199 E LINDA MESA AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3339
Practice Address - Country:US
Practice Address - Phone:925-820-6757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 16642106H00000X
CAG23003207XX0005X
CAE1277213EP0504X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic MedicineGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty