| Mindspa, Llc | |
|
3469 W Boynton Beach Blvd Ste 18 Boynton Beach FL 33436-4639 | |
| (561) 576-9404 | |
| (561) 493-3483 |
| Full Name | Mindspa, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3469 W Boynton Beach Blvd Ste 18, Boynton Beach, Florida |
| Authorized Official Name and Position | Marie Lennox (OWNER) |
| Authorized Official Contact | 5615769404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindspa, Llc 3469 W Boynton Beach Blvd Ste 18 Boynton Beach FL 33436-4639 Ph: (561) 576-9404 | Mindspa, Llc 3469 W Boynton Beach Blvd Ste 18 Boynton Beach FL 33436-4639 Ph: (561) 576-9404 |
| NPI Number | 1811639743 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 08/05/2023 |
| Certification Date | 08/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811639743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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