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MIND, BODY, AND SOUL THERAPY LLC
NPI 1730671769
Clinic/Center - Adult Mental Health in Oakland, CA

Active since June 05, 2018
2940 SUMMIT ST STE 2E, OAKLAND, CA 94609(510) 473-6062 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mind, Body, And Soul Therapy Llc NPPES

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

MIND, BODY, AND SOUL THERAPY LLC (NPI 1730671769) is a healthcare organization registered as an adult mental health in Oakland, California and active in the NPI registry since June 2018. The organization lists Tynisa D Snow, Member, as its authorized official.

NPPES Registry Identity

NPI1730671769
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMIND, BODY, AND SOUL THERAPY LLC
Location Address2940 SUMMIT ST STE 2EOakland, CA 94609-3416
Mailing AddressPo Box 17Union City, CA 94587-0017 · (510) 473-6062
Phone(510) 473-6062
Organization SubpartNo
Authorized OfficialTynisa D SnowMember · (510) 473-6062
Enumeration DateJune 5, 2018
✔ NPI 1730671769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in CA · 80925
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2940 SUMMIT ST STE 2E, Oakland, CA 94609
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Other Names 1

Doing Business AsMind, Body, And Soul Therapy Llc

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.

MRS. TYNISA DARLENE SNOW LCSW
Social Worker (Clinical)
2940 SUMMIT ST STE 2E
OAKLAND, CA 94609
Alameda County (510) 473-6062
DR. TANISHA STEWART PSYD
Psychologist (Clinical)
2940 SUMMIT ST STE 2E
OAKLAND, CA 94609
Alameda County (510) 995-6233
FORWARD MOVEMENT PSYCHOTHERAPY, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2940 SUMMIT ST STE 2E
OAKLAND, CA 94609
Alameda County (510) 995-6233

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, And Soul Therapy LLC's NPI number?

The NPI number for Mind, Body, And Soul Therapy LLC is 1730671769. It was assigned to this organization in the NPPES registry on June 5, 2018.

Where is Mind, Body, And Soul Therapy LLC located?

Mind, Body, And Soul Therapy LLC is located at 2940 Summit St Ste 2E, Oakland, CA 94609. The listed phone number is (510) 473-6062.

What is Mind, Body, And Soul Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Mind, Body, And Soul Therapy LLC was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.