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MIND BODY SPLENDID SUN
NPI 1104638519
Social Worker - Clinical in Falling Waters, WV

Active since January 22, 2025
185 MONTREAL WAY, FALLING WATERS, WV 25419(681) 242-3799 Get Directions Write a Review

NPPES record last updated: February 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mind Body Splendid Sun NPPES

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

MIND BODY SPLENDID SUN (NPI 1104638519) is a healthcare organization registered as a clinical in Falling Waters, West Virginia and active in the NPI registry since January 2025. The organization lists Micheal Lee, Manager Credentialing, as its authorized official.

NPPES Registry Identity

NPI1104638519
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIND BODY SPLENDID SUN
Location Address185 MONTREAL WAYFalling Waters, WV 25419-0109
Mailing Address100 Middletown Pkwy Unit 202Middletown, MD 21769-7767
Phone(681) 242-3799
Organization SubpartNo
Authorized OfficialMicheal LeeManager Credentialing · (786) 791-7529
Enumeration DateJanuary 22, 2025
Last NPPES UpdateFebruary 2, 2025
NPPES CertifiedFebruary 2, 2025
✔ NPI 1104638519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
185 MONTREAL WAY, Falling Waters, WV 25419
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL MATTHEWS LCSW-C
Social Worker (Clinical)
185 MONTREAL WAY
FALLING WATERS, WV 25419
Berkeley County (240) 626-9138

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 Splendid Sun's NPI number?

The NPI number for Mind Body Splendid Sun is 1104638519. It was assigned to this organization in the NPPES registry on January 22, 2025.

Where is Mind Body Splendid Sun located?

Mind Body Splendid Sun is located at 185 Montreal Way, Falling Waters, WV 25419. The listed phone number is (681) 242-3799.

What is Mind Body Splendid Sun's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mind Body Splendid Sun was last updated on February 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.