Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mind Body Medical Services, PC of Co

Organization Mental Health Counselor · NPI 1083471601

Mind Body Medical Services, PC of Co provides Mental Health Counselor services in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1136 5th Ave Apt 7B
New York, NY 10128-0122
Phone: (888) 729-1971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1083471601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Hollander — Care Operations Manager · (888) 729-1971
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address1136 5th Ave Apt 7b, New York, NY 10128-0122

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