BODY MIND HEALING LLC – Mental Health Counselor, NPI 1578085643

BODY MIND HEALING LLC is a healthcare provider. based in Kingsland, Georgia. specializing in Mental Health Counselor. The organization holds a License No. LPC008911 (GA). The NPI Number for BODY MIND HEALING LLC is 1578085643

Main info

Organization
Name
BODY MIND HEALING LLC
NPI
1578085643
Phone
(202) 297-2825
Address
602 E BAY AVE
Authorized Official
RICARDO VILLALOBOS OWNER/PSYCHOTHERAPIST LPC
Enumeration Date
11 July 2017
Last Update Date
11 July 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for BODY MIND HEALING LLC

  • 602 E BAY AVE

    KINGSLAND, GA 315485228

    Phone: (202) 297-2825

    Fax: (912) 882-3303

    Type: Mailing

  • 1712 OSBORNE RD STE L

    SAINT MARYS, GA 315589103

    Phone: (912) 673-9901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31548)

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Reviews

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Frequently asked questions

What number should I use to identify BODY MIND HEALING LLC for billing?
Administrative and clinical systems typically use NPI 1578085643 for BODY MIND HEALING LLC.
Quick check: is BODY MIND HEALING LLC active?
Public NPPES data shows BODY MIND HEALING LLC with an active NPI status right now.
What type of care does BODY MIND HEALING LLC provide?
BODY MIND HEALING LLC's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to BODY MIND HEALING LLC?
BODY MIND HEALING LLC shows a connection to Kingsland, Georgia in registry-derived data.
Can I export BODY MIND HEALING LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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