MIND & BODY FAMILY PRACTICE AND BEHAVIORAL HEALTH, LLC
NPI 1457062200
Nurse Practitioner - Family in Madison, AL

Q: What is Mind & Body Family Practice And Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 12, 2022CLIA 01D2273519 · Waiver

7519 WALL TRIANA HWY, MADISON, AL 35757(256) 696-5895(256) 696-5404 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2023, Dec 12, 2022 (2 updates tracked since 2022).

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About Mind & Body Family Practice And Behavioral Health, Llc NPPES

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

MIND & BODY FAMILY PRACTICE AND BEHAVIORAL HEALTH, LLC (NPI 1457062200) is a healthcare organization registered as a family in Madison, Alabama and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Tonia Boddie, Owner, as its authorized official.

NPPES Registry Identity

NPI1457062200

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMIND & BODY FAMILY PRACTICE AND BEHAVIORAL HEALTH, LLC

Location Address7519 WALL TRIANA HWYMadison, AL 35757-8327

Mailing AddressPo Box 2024Madison, AL 35758-5414

Phone(256) 696-5895

Fax(256) 696-5404

Organization SubpartNo

Authorized OfficialTonia BoddieOwner · (256) 696-5895

Enumeration DateDecember 12, 2022

Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2023

✔ NPI 1457062200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

7519 WALL TRIANA HWY, Madison, AL 35757

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2273519

Mind & Body Family Practice &behavorial Health LLC · Madison, AL

Active · expires Dec 13, 2026

CLIA Number01D2273519

Laboratory TypePractitioner Other

Certificate Effective DateDecember 14, 2024

Certificate Expiration DateDecember 13, 2026

Laboratory DirectorTonia P. Boddie

Laboratory Phone(256) 710-6607

Laboratory LocationMind & Body Family Practice &behavorial Health LLC7519 Wall Triana Highway, Madison, AL 35757

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ELDERRIDE

Non-emergency Medical Transport (VAN)

7519 WALL TRIANA HWY
MADISON, AL 35757

Madison County (256) 890-7433

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 Family Practice And Behavioral Health, LLC's NPI number?

The NPI number for Mind & Body Family Practice And Behavioral Health, LLC is 1457062200. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is Mind & Body Family Practice And Behavioral Health, LLC located?

Mind & Body Family Practice And Behavioral Health, LLC is located at 7519 Wall Triana Hwy, Madison, AL 35757. The listed phone number is (256) 696-5895.

What is Mind & Body Family Practice And Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mind & Body Family Practice And Behavioral Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2273519) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mind & Body Family Practice And Behavioral Health, LLC was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.