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NPI Code Detail

MEDICARE: MINDBRIDGE BEHAVIORAL HEALTH

MEDICARE: MINDBRIDGE BEHAVIORAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1265300263
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDBRIDGE BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 7771 W OAKLAND PARK BLVD STE 226
Second Line :
City : SUNRISE
State : FL
Zip : 33351-6747
Country : US
Telephone Number : 561-805-3016
Fax Number :
Provider Business Practice Location Address
First Line : 7771 W OAKLAND PARK BLVD STE 226
Second Line :
City : SUNRISE
State : FL
Zip : 33351-6747
Country : US
Telephone Number : 561-805-3016
Fax Number :
Authorized Official
Title or Position : CLINICAL SOCIAL WORKER
Name : STEPFAN JONES
Credential : LICSW
Telephone Number : 561-805-3016
Provider Enumeration Date : 10/29/2025
Last Update Date : 10/29/2025

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Directions to “MINDBRIDGE BEHAVIORAL HEALTH ” Practice Location

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