Healthcare Provider Details

I. General information

NPI: 1144066721
Provider Name (Legal Business Name): MIND & BODY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2024
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11405 PENNSYLVANIA ST STE 102
CARMEL IN
46032-6905
US

IV. Provider business mailing address

11405 N PENN ST STE 102
CARMEL IN
46032-6905
US

V. Phone/Fax

Practice location:
  • Phone: 859-481-8154
  • Fax:
Mailing address:
  • Phone: 317-343-6904
  • Fax: 317-975-3913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE NICOLE CURTIS
Title or Position: OWNER
Credential:
Phone: 859-481-8154