| Healthy Minds Wellness Group, Pllc | |
|
10025 W Hillsborough Ave Tampa FL 33615-3000 | |
| (813) 607-4289 | |
| (813) 291-7529 |
| Full Name | Healthy Minds Wellness Group, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10025 W Hillsborough Ave, Tampa, Florida |
| Authorized Official Name and Position | Paola Leticia Kasenetz (OWNER) |
| Authorized Official Contact | 8134316671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Wellness Group, Pllc 10519 Bermuda Isle Dr Tampa FL 33647-2721 Ph: (813) 607-4289 | Healthy Minds Wellness Group, Pllc 10025 W Hillsborough Ave Tampa FL 33615-3000 Ph: (813) 607-4289 |
| NPI Number | 1013650076 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013650076 | NPI | - | NPPES |
| 1013237577 | Other | FL | LMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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