MIND BODY SPIRIT CARE CLINIC INC
NPI 1104007756
General Practice in Mascoutah, IL

Q: What is Mind Body Spirit Care Clinic Inc's NPI number?

The NPI number for Mind Body Spirit Care Clinic Inc is 1104007756. It was assigned to this organization in the NPPES registry on November 23, 2007.

Q: What is Mind Body Spirit Care Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since November 23, 2007

9640 MALLARD DR, MASCOUTAH, IL 62258(618) 960-8796 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mind Body Spirit Care Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND BODY SPIRIT CARE CLINIC INC (NPI 1104007756) is a healthcare organization registered as a general practice in Mascoutah, Illinois and active in the NPI registry since November 2007. The organization lists Catherine Deanne Marshall, President-owner/provider, as its authorized official.

NPPES Registry Identity

NPI1104007756

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMIND BODY SPIRIT CARE CLINIC INC

Location Address9640 MALLARD DRMascoutah, IL 62258-2762

Mailing Address215 N Broadway AveSalem, IL 62881-1511 · (618) 960-8796

Phone(618) 960-8796

Organization SubpartNo

Authorized OfficialCatherine Deanne MarshallPresident-owner/provider · (618) 624-2788

Enumeration DateNovember 23, 2007

✔ NPI 1104007756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9640 MALLARD DR, Mascoutah, IL 62258

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Body Spirit Care Clinic Inc's NPI number?

The NPI number for Mind Body Spirit Care Clinic Inc is 1104007756. It was assigned to this organization in the NPPES registry on November 23, 2007.

Where is Mind Body Spirit Care Clinic Inc located?

Mind Body Spirit Care Clinic Inc is located at 9640 Mallard Dr, Mascoutah, IL 62258. The listed phone number is (618) 960-8796.

What is Mind Body Spirit Care Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mind Body Spirit Care Clinic Inc was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.