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General NPI Number Information
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NPI Number | 1447194113
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Entity Type | Organization
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Legal Business Name | MIND BODY HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 1030 EAST MORGAN STREET
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City | MARTINSVILLE
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State | IN
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Zip | 46151
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Country | US
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Telephone | 404-313-5365
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Fax |
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Provider Business Mailing Address
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Address Line | 480 N TOWN CENTER RD
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City | MOORESVILLE
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State | IN
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Zip | 46158-1379
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Country | US
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Telephone | 404-313-5365
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY BURCHETT
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Credential | MSN, APRN
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Telephone | 812-585-3626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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