OrganizationActive
Mind Body Soul Medical Spa
NPI 1124554076 · Adult Mental Health Clinic/Center · La Crescenta, CA
Provider details
- NPI number
- 1124554076
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Araa Enterprise LLC
- Organization subpart
- Yes
- Authorized official
- Anoush Ketsoyan, Owner/President(818) 522-3555
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2415 Los Amigos St
La Crescenta, CA 91214-3032
Phone: (818) 522-3555
Street-level locationGet directions
Mailing address
2415 Los Amigos St
La Crescenta, CA 91214-3032
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2017-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.