Organization · NPI-2

Adaptive Mind PLLC

Social Worker, Clinical · West Palm Beach, FL

NPI number1336788439
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1336788439
Entity type
Organization (NPI-2)
Legal business name
Adaptive Mind PLLC
Organization subpart
No
Enumeration date
Jan 6, 2020
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

700 S Rosemary Ave Ste 204
West Palm Beach, FL 33401-6310

Phone 561-246-5063

Mailing address

700 S Rosemary Ave Ste 204
West Palm Beach, FL 33401-6310

Phone 561-246-5063

Authorized official

Carly Lupo
Ceo
5612465063

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