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MIND-BODY CONNECTION, LLC
NPI 1710855028
Nurse Practitioner - Gerontology in Lambert, MS

Active since October 28, 2025CLIA 25D2341891 · Waiver
716 DARBY AVE, LAMBERT, MS 38643(662) 351-4225(662) 351-4225 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mind-body Connection, Llc NPPES

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

MIND-BODY CONNECTION, LLC (NPI 1710855028), doing business as Mind-body Connection, is a healthcare organization registered as a gerontology in Lambert, Mississippi and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through April 8, 2028 and lists Karmesha Duke, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1710855028
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameMIND-BODY CONNECTION, LLC
Location Address716 DARBY AVELambert, MS 38643
Mailing AddressPo Box 814Lambert, MS 38643-0814 · (662) 351-4225 · Fax (662) 351-4225
Phone(662) 351-4225
Fax(662) 351-4225
Organization SubpartNo
Authorized OfficialKarmesha DukeNurse Practitioner · (662) 351-4225
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1710855028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
716 DARBY AVE, Lambert, MS 38643
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Other Names 1

Doing Business AsMind-body Connection

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 25D2341891

Mind-Body Connection, LLC · Lambert, MS
Active · expires Apr 8, 2028
CLIA Number25D2341891
Laboratory TypePractitioner Other
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorKarmesha Duke
Laboratory Phone(662) 351-4225
Laboratory LocationMind-Body Connection, LLC648 Mcdavid Ave, Suite A, Lambert, MS 38643
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Connection, LLC's NPI number?

The NPI number for Mind-Body Connection, LLC is 1710855028. It was assigned to this organization in the NPPES registry on October 28, 2025. The provider is doing business as Mind-Body Connection.

Where is Mind-Body Connection, LLC located?

Mind-Body Connection, LLC is located at 716 Darby Ave, Lambert, MS 38643. The listed phone number is (662) 351-4225.

What is Mind-Body Connection, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Does Mind-Body Connection, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2341891) is associated with this NPI, valid through April 8, 2028. 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 Connection, LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.