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MIND & BODY REBOOT, LLC
NPI 1760144901
Social Worker - Clinical in Chester Springs, PA

Active since October 05, 2021
10 GREGORY LN, CHESTER SPRINGS, PA 19425(610) 465-7310 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mind & Body Reboot, Llc NPPES

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

MIND & BODY REBOOT, LLC (NPI 1760144901) is a healthcare organization registered as a clinical in Chester Springs, Pennsylvania and active in the NPI registry since October 2021. The organization lists Lisa Cerrullo, Founder, as its authorized official.

NPPES Registry Identity

NPI1760144901
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIND & BODY REBOOT, LLC
Location Address10 GREGORY LNChester Springs, PA 19425-3314
Mailing Address10 Gregory LnChester Springs, PA 19425-3314 · (610) 213-4101
Phone(610) 465-7310
Organization SubpartNo
Authorized OfficialLisa CerrulloFounder · (610) 465-7310
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1760144901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10 GREGORY LN, Chester Springs, PA 19425
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Other Identifiers 1

Other1041C0700XPA · Highmark

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

Other Providers at the Same Location NPPES

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

MS. LISA CERULLO MSW, MHS
Counselor (Addiction (Substance Use Disorder))
10 GREGORY LN
CHESTER SPRINGS, PA 19425
Chester County (610) 213-4101

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 Reboot, LLC's NPI number?

The NPI number for Mind & Body Reboot, LLC is 1760144901. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Mind & Body Reboot, LLC located?

Mind & Body Reboot, LLC is located at 10 Gregory Ln, Chester Springs, PA 19425. The listed phone number is (610) 465-7310.

What is Mind & Body Reboot, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mind & Body Reboot, LLC was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.