MIND BODY & SOUL FAMILY THERAPY
NPI 1407425580
Counselor - Mental Health in Rancho Cucamonga, CA

Active since June 22, 2021
10737 LAUREL ST., #135, RANCHO CUCAMONGA, CA 91730(909) 303-0969(909) 481-5753 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2024, Jun 22, 2021 (2 updates tracked since 2021).

About Mind Body & Soul Family Therapy NPPES

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

MIND BODY & SOUL FAMILY THERAPY (NPI 1407425580), doing business as Mind Body & Soul Therapy, is a healthcare organization registered as a mental health in Rancho Cucamonga, California and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Glastonbury and lists Crystal Deanna Osborn, Owner, as its authorized official.

NPPES Registry Identity

NPI1407425580
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIND BODY & SOUL FAMILY THERAPY
Location Address10737 LAUREL ST., #135Rancho Cucamonga, CA 91730
Mailing Address10737 Laurel St., #135Rancho Cucamonga, CA 91730 · (909) 303-0969 · Fax (909) 481-5753
Fax(909) 481-5753
Organization SubpartNo
Authorized OfficialCrystal Deanna OsbornOwner · (909) 303-0969
Enumeration DateJune 22, 2021
Last NPPES UpdateApril 18, 20252 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
NPI 1407425580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X

Other Names 1

Doing Business AsMind Body & Soul Therapy

Secondary Practice Location 1

Location 12389 Main St Ste 100Glastonbury, CT 06033-4617 · Phone (860) 576-5056 · Fax (909) 481-5753

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

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 Family Therapy's NPI number?

The NPI number for Mind Body & Soul Family Therapy is 1407425580. It was assigned to this organization in the NPPES registry on June 22, 2021. The provider is doing business as Mind Body & Soul Therapy.

Where is Mind Body & Soul Family Therapy located?

Mind Body & Soul Family Therapy is located at 10737 Laurel St., #135, Rancho Cucamonga, CA 91730. The listed phone number is (909) 303-0969.

What is Mind Body & Soul Family Therapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mind Body & Soul Family Therapy was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.