| Mindescape Llc | |
|
27911 Crown Lake Blvd Bonita Springs FL 34135-4210 | |
| (800) 961-3367 | |
| (800) 961-3367 |
| Full Name | Mindescape Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 27911 Crown Lake Blvd, Bonita Springs, Florida |
| Authorized Official Name and Position | Marina Chitoroga (CLINICAL MANAGER) |
| Authorized Official Contact | 8009613367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindescape Llc 27911 Crown Lake Blvd Bonita Springs FL 34135-4210 Ph: (800) 961-3367 | Mindescape Llc 27911 Crown Lake Blvd Bonita Springs FL 34135-4210 Ph: (800) 961-3367 |
| NPI Number | 1760216915 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760216915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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Paige Kayihan Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 24000 Dietz Dr, Bonita Springs, FL 34135 Phone: 206-265-1561 | |
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