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NPI Code Detail

MEDICARE: THRIVING MINDS THERAPY CENTER INC

MEDICARE: THRIVING MINDS THERAPY CENTER INC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1427816628
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIVING MINDS THERAPY CENTER INC
Provider Business Mailing Address
First Line : 7900 OAK LN STE 447
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-6000
Country : US
Telephone Number : 786-925-0697
Fax Number :
Provider Business Practice Location Address
First Line : 7900 OAK LN STE 447
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-6000
Country : US
Telephone Number : 786-925-0697
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LISBET C GONZALEZ
Credential :
Telephone Number : 786-925-0697
Provider Enumeration Date : 03/12/2024
Last Update Date : 03/12/2024

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Directions to “THRIVING MINDS THERAPY CENTER INC ” Practice Location

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