MIND BODY THERAPEUTICS LLC (NPI# 1093336505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093336505 |
| Entity Type | Organization |
| Organization Name | MIND BODY THERAPEUTICS LLC |
| Other Organization Name | CENTER FOR THE HEALING ARTS |
| Practice Address |
2630 Se Willoughby Blvd Ste 2b Stuart FL 34994-4700 |
| Practice Telephone | 9543038558 |
| Mailing Telephone | 9543038558 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | JANE B STATLANDER-SLOTE (OWNER) |
| Authorized Official Telephone | 3053314489 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Center for the Healing Arts | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7860 Glades Rd Ste 225, Boca Raton, FL 334344175 | 9543038558 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mind Body Therapeutics LLC | 1633 Vickers Dr, Colorado Springs, CO 80918 |
| Street Address |
2630 SE WILLOUGHBY BLVD STE 2B |
| City | STUART |
| State | FL |
| Zip Code | 34994-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973919 | Jane B Statlander-slote | Social Worker | 2630 Se Willoughby Blvd # 2b, Stuart, FL 34994-4700 | 2020-05-07 |
| 1265075105 | Betty Sparks Acierno | Social Worker | 1353 Sw Heather Ter, Stuart, FL 34997-7106 | 2019-10-23 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1528528056 | Melissa B Callaham | Social Worker | 900 Se Ocean Blvd Ste D130, Stuart, FL 34994-3503 | 2019-03-21 |
| 1205304698 | Joelle Fritz | Social Worker | 815 Se Stafford Dr, Stuart, FL 34996-3608 | 2018-11-05 |
| 1649789108 | Kim Bortot | Social Worker | 850 Nw Federal Hwy Ste 108, Stuart, FL 34994-1019 | 2017-09-27 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1295199644 | Lynnea Leann Valpatic | Social Worker | 6081 Se Landing Way, #14, Stuart, FL 34997-1824 | 2016-04-12 |
| 1639544539 | Rashawnda Carey | Social Worker | 700 Se Indian St, Suite 760, Stuart, FL 34997-5604 | 2015-12-03 |
| 1497165591 | Karen Moore | Social Worker | 900 Se Ocean Blvd Ste D232, Stuart, FL 34994-3501 | 2014-04-29 |
| Find all providers in STUART | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.