Healthcare Provider Details

I. General information

NPI: 1396442539
Provider Name (Legal Business Name): MIND AND BODY HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5460 WARD RD STE 305
ARVADA CO
80002-1800
US

IV. Provider business mailing address

12650 W 64TH AVE UNIT E
ARVADA CO
80004-3887
US

V. Phone/Fax

Practice location:
  • Phone: 720-853-1300
  • Fax: 720-853-1305
Mailing address:
  • Phone: 720-853-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: REBEKAH TURNER
Title or Position: OWNER
Credential: FNP, PMHNP
Phone: 720-383-1893