| Kind Body Llc | |
|
2012 Cherry Hill Dr Ste 202b Columbia MO 65203-5882 | |
| (573) 615-4656 | |
| Not Available |
| Full Name | Kind Body Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2012 Cherry Hill Dr Ste 202b, Columbia, Missouri |
| Authorized Official Name and Position | Isabelle Bouchard (PART OWNER) |
| Authorized Official Contact | 5736154656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kind Body Llc 2012 Cherry Hill Dr Ste 202b Columbia MO 65203-5882 Ph: (573) 615-4656 | Kind Body Llc 2012 Cherry Hill Dr Ste 202b Columbia MO 65203-5882 Ph: (573) 615-4656 |
| NPI Number | 1932778974 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932778974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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