Provider Demographics
NPI:1598571705
Name:MIND BODY SLEEP, LLC
Entity type:Organization
Organization Name:MIND BODY SLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, DBSM
Authorized Official - Phone:972-284-9623
Mailing Address - Street 1:2109 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-1524
Mailing Address - Country:US
Mailing Address - Phone:702-810-9641
Mailing Address - Fax:972-696-0723
Practice Address - Street 1:6500 GREENVILLE AVE STE 430
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-1014
Practice Address - Country:US
Practice Address - Phone:972-284-9623
Practice Address - Fax:972-696-0723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)