| Progressive Minds Therapy | |
|
4210 Burtonwood Dr Pensacola FL 32514-8013 | |
| (850) 480-9314 | |
| Not Available |
| Full Name | Progressive Minds Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4210 Burtonwood Dr, Pensacola, Florida |
| Authorized Official Name and Position | Michelle M Lawrence (CLINICIAN) |
| Authorized Official Contact | 8504809314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Minds Therapy 120 Chiefs Way Ste 1 Pensacola FL 32507-1100 Ph: (850) 480-9314 | Progressive Minds Therapy 4210 Burtonwood Dr Pensacola FL 32514-8013 Ph: (850) 480-9314 |
| NPI Number | 1376311316 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376311316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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