NPI 1295519213
Mind Body Connections LLC
Practice location
- Address
- 8000 Black Hawk Rd STE 4, Black Hawk, SD 57718-3315
- Phone
- (605) 431-3388
Authorised official
- Name
- Jessica Koupal
- Title
- Business Owner
- Phone
- (605) 431-3388
Registered specialties (2)
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
Nurse Practitioner
Registry record
- NPI
- 1295519213
- Entity type
- Organization
- NPI issued
- 21 Aug 2023
- Record last updated
- 7 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.