OrganizationActive
The Mind and Body Consortium, LLC.
NPI 1316186539 · Psychiatry Physician · Dover, DE
Provider details
- NPI number
- 1316186539
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Leidy, Owner(302) 674-2380
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Clinical Nurse Specialist364S00000X
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Practice location
156 S State St
Dover, DE 19901-7314
Phone: (302) 674-2380
Fax: (302) 674-1299
Approximate (ZIP-level) locationGet directions
Mailing address
156 S State St
Dover, DE 19901-7314
Additional practice locations (2)
- 118 Sandhill Dr Ste 202Middletown, DE 19709-5863Phone: (302) 674-2380Fax: (302) 674-1299
- 513 S Dupont Blvd Ste B-CMilford, DE 19963-1757Phone: (302) 674-2380Fax: (302) 674-1299
Registry dates
- Enumerated
- 2009-02-11
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.