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MIND AND BODY CARE LLC
NPI 1902684608
Nurse Practitioner - Psychiatric/Mental Health in Slidell, LA

Active since September 15, 2023CLIA 19D2316318 · Waiver
1428 GAUSE BLVD STE 107, SLIDELL, LA 70458(985) 285-6843 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mind And Body Care Llc NPPES

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

MIND AND BODY CARE LLC (NPI 1902684608) is a healthcare organization registered as a psychiatric/mental health in Slidell, Louisiana and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through January 1, 2027 and lists Tina D Malonson, Nurse Practitoner/owner, as its authorized official.

NPPES Registry Identity

NPI1902684608
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIND AND BODY CARE LLC
Location Address1428 GAUSE BLVD STE 107Slidell, LA 70458-2247
Mailing Address1428 Gause Blvd Ste 107Slidell, LA 70458-2247 · (985) 285-6843
Phone(985) 285-6843
Organization SubpartNo
Authorized OfficialTina D MalonsonNurse Practitoner/owner · (985) 285-6843
Enumeration DateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1902684608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1428 GAUSE BLVD STE 107, Slidell, LA 70458
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Other Names 1

Other NameTina D Malonson

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 19D2316318

Mind And Body Care, LLC · Slidell, LA
Active · expires Jan 1, 2027
CLIA Number19D2316318
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorTina Malonson
Laboratory Phone(985) 285-6843
Laboratory LocationMind And Body Care, LLC1428 Gause Blvd, Ste 107, Slidell, LA 70458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TINA DUNCAN MALONSON APRN, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
1428 GAUSE BLVD STE 107
SLIDELL, LA 70458
St. Tammany Parish (985) 285-6843

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 Care LLC's NPI number?

The NPI number for Mind And Body Care LLC is 1902684608. It was assigned to this organization in the NPPES registry on September 15, 2023. The provider is also known as Tina D Malonson.

Where is Mind And Body Care LLC located?

Mind And Body Care LLC is located at 1428 Gause Blvd Ste 107, Slidell, LA 70458. The listed phone number is (985) 285-6843.

What is Mind And Body Care LLC's specialty?

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

Does Mind And Body Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2316318) is associated with this NPI, valid through January 1, 2027. 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 And Body Care LLC was last updated on September 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.