| Mindbody Connection | |
|
2875 Ne 191st St #538 Aventura FL 33180-2801 | |
| (754) 300-9386 | |
| (786) 923-0947 |
| Full Name | Mindbody Connection |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2875 Ne 191st St, Aventura, Florida |
| Authorized Official Name and Position | Mariam Dum (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7865534546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindbody Connection 2121 Sw 3rd Ave 200 Miami FL 33129-1490 Ph: (786) 553-4546 | Mindbody Connection 2875 Ne 191st St #538 Aventura FL 33180-2801 Ph: (754) 300-9386 |
| NPI Number | 1124364104 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124364104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 8498 (Florida) | Primary |
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