MINDBODYSOULWORKS, LLC
NPI 1205309531
Clinic/Center - Mental Health (Including Community Mental Health Center) in Erie, PA

Active since January 09, 2019
4190 E LAKE RD, ERIE, PA 16511(814) 616-2858(814) 616-2860 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mindbodysoulworks, Llc NPPES

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

MINDBODYSOULWORKS, LLC (NPI 1205309531) is a healthcare organization registered as a mental health (including community mental health center) in Erie, Pennsylvania and active in the NPI registry since January 2019. The organization lists Mary Rudolph, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1205309531
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMINDBODYSOULWORKS, LLC
Location Address4190 E LAKE RDErie, PA 16511-1355
Mailing Address4190 E Lake RdErie, PA 16511-1355 · (814) 616-2858 · Fax (814) 616-2860
Fax(814) 616-2860
Organization SubpartNo
Authorized OfficialMary RudolphTherapist/owner · (814) 616-2858
Enumeration DateJanuary 9, 2019
NPI 1205309531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4190 E LAKE RD, Erie, PA 16511

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
4190 E LAKE RD
ERIE, PA 16511
Chiropractor
4190 E LAKE RD
ERIE, PA 16511
Chiropractor
4190 E LAKE RD
ERIE, PA 16511

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 Mindbodysoulworks, LLC's NPI number?

The NPI number for Mindbodysoulworks, LLC is 1205309531. It was assigned to this organization in the NPPES registry on January 9, 2019.

Where is Mindbodysoulworks, LLC located?

Mindbodysoulworks, LLC is located at 4190 E Lake Rd, Erie, PA 16511. The listed phone number is (814) 616-2858.

What is Mindbodysoulworks, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mindbodysoulworks, LLC was last updated on January 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.