My Mindful Maven
Counselor, Mental Health in Boca Raton, FL. Organization (NPI-2).
NPI number1235814799
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1235814799
- Entity type
- Organization (NPI-2)
- Legal business name
- My Mindful Maven
- Organization subpart
- No
- Enumeration date
- Jun 21, 2023
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
9707 Palma Vista WayBoca Raton, FL 33428-3527
Phone 754-229-9090
Mailing address
9707 Palma Vista WayBoca Raton, FL 33428-3527
Phone 754-229-9090
Authorized official
Aliza Blumenthal
Lcsw
8456418838
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