Healthcare Provider Details
I. General information
NPI: 1861312647
Provider Name (Legal Business Name): I-MIND INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4248 TOWN CTR BLVD STE 6
ORLANDO FL
32837-6107
US
IV. Provider business mailing address
3065 DANIELS RD # 1493
WINTER GARDEN FL
34787-7002
US
V. Phone/Fax
- Phone: 689-306-2727
- Fax:
- Phone: 689-306-2727
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA DEL ROCIO
FEASTER
Title or Position: PRESIDENT
Credential: MBA,CPC
Phone: 689-306-2727