Healthcare Provider Details

I. General information

NPI: 1245103670
Provider Name (Legal Business Name): MIND & BODY IN MOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6230 WILES RD APT 207
CORAL SPRINGS FL
33067-4333
US

IV. Provider business mailing address

6230 WILES RD APT 207
CORAL SPRINGS FL
33067-4333
US

V. Phone/Fax

Practice location:
  • Phone: 754-757-5422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MILENE MAJDALANI
Title or Position: MBR
Credential:
Phone: 754-757-5422