NPI
Mind Body Therapeutics LLC
NPI 1093336505
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2020-05-06
- Last updated
- 2026-04-16
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Specialties
- 1041C0700XSocial Worker, Clinical · Primary
- 103TA0700XPsychologist, Adult Development & Aging
- 103TA0400XPsychologist, Addiction (Substance Use Disorder)
- 101YP1600XCounselor, Pastoral
- 103TC0700XPsychologist, Clinical
- 103TC1900XPsychologist, Counseling
- 103TH0004XPsychologist, Health
- 103TB0200XPsychologist, Cognitive & Behavioral
Licenses
The registry row did not include a license.
Location
- Practice location
- 8461 Lake Worth Rd Bldg 1
- City
- Lake Worth FL
- Postal code
- 33467-2474
- Phone
- (772) 486-4417
Organization contact
- Name
- Kimberly Carrion Alicea
- Title
- Clinical Psychologist
- Phone
- (772) 486-4417
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lake Worth, FL. 2,996 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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