Sunshine Mind LLC
Psychologist, Clinical in Weston, FL. Organization (NPI-2).
NPI number1831900349
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1831900349
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunshine Mind LLC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2025
- Certification date
- Jan 23, 2025
- Last updated
- Jan 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
1500 Weston Rd Ste 223Weston, FL 33326-3265
Phone 754-444-0674
Mailing address
1500 Weston Rd Ste 223Weston, FL 33326-3265
Authorized official
Fabiola Audibert
Clinical Director
9548813065
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