Healthcare Provider Details

I. General information

NPI: 1437947132
Provider Name (Legal Business Name): PUZZLY MINDS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 21ST ST
VERO BEACH FL
32960-3461
US

IV. Provider business mailing address

4050 DINNER LAKE WAY
LAKE WALES FL
33859-2105
US

V. Phone/Fax

Practice location:
  • Phone: 863-837-0895
  • Fax:
Mailing address:
  • Phone: 863-837-0895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ALICE RYMER
Title or Position: MANAGER
Credential:
Phone: 863-837-0895