| Mind Blossom Recovery | |
|
2110 N Donnelly St Ste 103 Mount Dora FL 32757-6969 | |
| (407) 492-4945 | |
| Not Available |
| Full Name | Mind Blossom Recovery |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2110 N Donnelly St Ste 103, Mount Dora, Florida |
| Authorized Official Name and Position | Kortnie Lynch (OWNER) |
| Authorized Official Contact | 4075834499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Blossom Recovery 3003 Clamont Ln Eustis FL 32726-2045 Ph: (407) 492-9245 | Mind Blossom Recovery 2110 N Donnelly St Ste 103 Mount Dora FL 32757-6969 Ph: (407) 492-4945 |
| NPI Number | 1144040478 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144040478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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