Mind, Body & Soul Psychiatry, PA
Mind, Body & Soul Psychiatry, PA is a Psychiatry Physician in Lake Worth, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4393 Hunting TrlLake Worth, FL 33467-3505
Phone: (954) 546-2707
Fax: (954) 820-5592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1740045004 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diana Glaccum-Gavagni — Owner/Psychiatrist · (954) 546-2707 |
| Other names | Diana Sofia Glaccum-Gavagni, Md, Pa; Diana Sofia Glaccum-Gavagni, Md, Pa |
| NPI enumerated | February 15, 2024 |
| Last updated in NPPES | July 15, 2026 |
| Certification date | July 15, 2026 |
| Mailing address | 4393 Hunting Trl, Lake Worth, FL 33467-3505 |
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