| Mindholisticllc | |
|
4747 N Ocean Dr Ste 214 Lauderdale By The Sea FL 33308-2947 | |
| (800) 232-5037 | |
| Not Available |
| Full Name | Mindholisticllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4747 N Ocean Dr Ste 214, Lauderdale By The Sea, Florida |
| Authorized Official Name and Position | Irene Belaga (OWNER) |
| Authorized Official Contact | 8002325037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindholisticllc 1501 E Broward Blvd Apt 606 Fort Lauderdale FL 33301-2103 Ph: (954) 770-0764 | Mindholisticllc 4747 N Ocean Dr Ste 214 Lauderdale By The Sea FL 33308-2947 Ph: (800) 232-5037 |
| NPI Number | 1417677006 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417677006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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