| Healthy Mind & Body Pllc | |
|
512 Four Stones Blvd Lewisville TX 75056-3893 | |
| (917) 336-8422 | |
| Not Available |
| Full Name | Healthy Mind & Body Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 512 Four Stones Blvd, Lewisville, Texas |
| Authorized Official Name and Position | Neelofar Lalani (OWNER) |
| Authorized Official Contact | 4054140072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Mind & Body Pllc 512 Four Stones Blvd Lewisville TX 75056-3893 Ph: (917) 336-8422 | Healthy Mind & Body Pllc 512 Four Stones Blvd Lewisville TX 75056-3893 Ph: (917) 336-8422 |
| NPI Number | 1609651678 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 6709233695 |
|---|---|
| Medicare Enrollment ID | O20231115000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609651678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Neelofar Lalani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790097988 PECOS PAC ID: 8628309135 Enrollment ID: I20230608000096 |
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