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MIND BODY & SOUL BEHAVIORAL HEALTH AND WELLNESS LLC
NPI 1154954634
Community/Behavioral Health in Rock Hill, SC

Active since February 12, 2020
1365 EBENEZER RD, ROCK HILL, SC 29732(803) 708-7556(803) 708-7801 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mind Body & Soul Behavioral Health And Wellness Llc NPPES

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

MIND BODY & SOUL BEHAVIORAL HEALTH AND WELLNESS LLC (NPI 1154954634) is a healthcare organization registered as a community/behavioral health in Rock Hill, South Carolina and active in the NPI registry since February 2020. The organization lists Shukairo M Baker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154954634
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMIND BODY & SOUL BEHAVIORAL HEALTH AND WELLNESS LLC
Location Address1365 EBENEZER RDRock Hill, SC 29732-2336
Mailing Address1365 Ebenezer RdRock Hill, SC 29732-2336 · (803) 708-7556 · Fax (803) 708-7801
Phone(803) 708-7556
Fax(803) 708-7801
Organization SubpartNo
Authorized OfficialShukairo M BakerCeo · (980) 309-8508
Enumeration DateFebruary 12, 2020
✔ NPI 1154954634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1365 EBENEZER RD, Rock Hill, SC 29732
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Other Providers at the Same Location NPPES

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

MS. CAROLE B SARN MED, LPC ,NCC
Counselor (Mental Health)
1365 EBENEZER RD
ROCK HILL, SC 29732
York County (803) 817-7837

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 & Soul Behavioral Health And Wellness LLC's NPI number?

The NPI number for Mind Body & Soul Behavioral Health And Wellness LLC is 1154954634. It was assigned to this organization in the NPPES registry on February 12, 2020.

Where is Mind Body & Soul Behavioral Health And Wellness LLC located?

Mind Body & Soul Behavioral Health And Wellness LLC is located at 1365 Ebenezer Rd, Rock Hill, SC 29732. The listed phone number is (803) 708-7556.

What is Mind Body & Soul Behavioral Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mind Body & Soul Behavioral Health And Wellness LLC was last updated on February 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.