MIND AND BODY INTEGRATION, PLLC
NPI 1811659584
Nurse Practitioner - Psychiatric/Mental Health in Canon City, CO

Q: What is Mind And Body Integration, PLLC's NPI number?

The NPI number for Mind And Body Integration, PLLC is 1811659584. It was assigned to this organization in the NPPES registry on October 11, 2021.

Q: What is Mind And Body Integration, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 11, 2021

109 LATIGO LN STE G, CANON CITY, CO 81212(719) 430-5650(719) 345-0607 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 21, 2023, Dec 11, 2022, Oct 11, 2021 (3 updates tracked since 2021).

On this page

About Mind And Body Integration, Pllc NPPES

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

MIND AND BODY INTEGRATION, PLLC (NPI 1811659584) is a healthcare organization registered as a psychiatric/mental health in Canon City, Colorado and active in the NPI registry since October 2021. The organization lists Amy R Leibli, Dnp, Fnp-bc, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1811659584

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIND AND BODY INTEGRATION, PLLC

Location Address109 LATIGO LN STE GCanon City, CO 81212-8113

Mailing Address265 7th StPenrose, CO 81240-9312 · (719) 430-5650 · Fax (719) 345-0607

Phone(719) 430-5650

Fax(719) 345-0607

Organization SubpartNo

Authorized OfficialAmy R LeibliDnp, Fnp-bc, Pmhnp-bc · (719) 430-5650

Enumeration DateOctober 11, 2021

Last NPPES UpdateFebruary 21, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2023

✔ NPI 1811659584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

109 LATIGO LN STE G, Canon City, CO 81212

Open in Google Maps ↗

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

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 And Body Integration, PLLC's NPI number?

The NPI number for Mind And Body Integration, PLLC is 1811659584. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is Mind And Body Integration, PLLC located?

Mind And Body Integration, PLLC is located at 109 Latigo Ln Ste G, Canon City, CO 81212. The listed phone number is (719) 430-5650.

What is Mind And Body Integration, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mind And Body Integration, PLLC was last updated on February 21, 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.