Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrative Mind Body Dental Telehealth LLC

Organization Counselor · NPI 1942819834

Integrative Mind Body Dental Telehealth LLC is a Counselor in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Central Park S Rm 4C
New York, NY 10019-1628
Phone: (212) 371-0360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X
Counselor Taxonomy 101Y00000X
Behavior Analyst Taxonomy 103K00000X
Assistant Behavior Analyst Taxonomy 106E00000X
Dentist Taxonomy 122300000X
Nutritionist Taxonomy 133N00000X
General Practice Physician Taxonomy 208D00000X
Home Health Aide Taxonomy 374U00000X
Prevention Professional Taxonomy 405300000X

Record details

NPI number1942819834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maryam Edalat — Owner · (212) 371-0360
Other names Integrative Mind Body Dental Telehealth Llc
NPI enumeratedJuly 27, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020
Mailing address30 Central Park S Rm 4c, New York, NY 10019-1628

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