Healthcare Provider Details

I. General information

NPI: 1609651678
Provider Name (Legal Business Name): HEALTHY MIND & BODY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 N JOSEY LN STE 100
CARROLLTON TX
75007-1535
US

IV. Provider business mailing address

512 FOUR STONES BLVD
LEWISVILLE TX
75056-3893
US

V. Phone/Fax

Practice location:
  • Phone: 972-939-1362
  • Fax: 800-697-6409
Mailing address:
  • Phone: 972-939-1362
  • Fax: 800-697-6409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: NEELOFAR LALANI
Title or Position: MD
Credential:
Phone: 405-414-0072