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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIND, BODY & SOUL PSYCHIATRY, P.A.
NPI 1740045004
Psychiatry & Neurology - Psychiatry in Lake Worth, FL

Active since February 15, 2024
4393 HUNTING TRL, LAKE WORTH, FL 33467(954) 546-2707(954) 820-5592 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mind, Body & Soul Psychiatry, P.a. NPPES

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

MIND, BODY & SOUL PSYCHIATRY, P.A. (NPI 1740045004) is a healthcare organization registered as a psychiatry in Lake Worth, Florida and active in the NPI registry since February 2024. The organization lists Diana Sofia Glaccum-gavagni, Owner/psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1740045004
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMIND, BODY & SOUL PSYCHIATRY, P.A.
Location Address4393 HUNTING TRLLake Worth, FL 33467-3505
Mailing Address4393 Hunting TrlLake Worth, FL 33467-3505 · (954) 546-2707 · Fax (954) 820-5592
Phone(954) 546-2707
Fax(954) 820-5592
Organization SubpartNo
Authorized OfficialDiana Sofia Glaccum-gavagniOwner/psychiatrist · (954) 546-2707
Enumeration DateFebruary 15, 2024
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1740045004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4393 HUNTING TRL, Lake Worth, FL 33467
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Psychiatry, P.A.'s NPI number?

The NPI number for Mind, Body & Soul Psychiatry, P.A. is 1740045004. It was assigned to this organization in the NPPES registry on February 15, 2024.

Where is Mind, Body & Soul Psychiatry, P.A. located?

Mind, Body & Soul Psychiatry, P.A. is located at 4393 Hunting Trl, Lake Worth, FL 33467. The listed phone number is (954) 546-2707.

What is Mind, Body & Soul Psychiatry, P.A.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Mind, Body & Soul Psychiatry, P.A. was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.