Organization · NPI-2
Mind Body Optimization Online, LLC
Psychiatry & Neurology, Psychiatry · Leawood, KS
NPI number1548069859
StatusActive
Last updated in NPPESJan 21, 2026
Details
- NPI
- 1548069859
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind Body Optimization Online, LLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2025
- Certification date
- Jan 21, 2026
- Last updated
- Jan 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Mind Body Optimization (Doing Business As)
Practice location
5405 W 151st StLeawood, KS 66224-8700
Phone 682-900-6631 · Fax 800-416-8145
Mailing address
16 Village Ln Ste 200Colleyville, TX 76034-2948
Phone 682-900-6631 · Fax 800-416-8145
Other practice locations
1010 Carondelet Dr Ste 329
Kansas City, MO 64114-4854
Kansas City, MO 64114-4854
Phone 682-900-6631 · Fax 800-416-8145
Authorized official
David J Moraine
Legal Counsel
4699903626
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