# NOVAMIND THERAPY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033965793
- **Authorized official:** MRS. JENNIFER MORALES MPSY (PRESIDENTE)
- **Authorized official phone:** (787) 207-7588

## Contact information

- **Practice address:** 5 CARR 798 KM 0.5, RIO CANAS, CAGUAS, PR 00725-0000
- **Practice address phone:** (787) 207-7588
- **Mailing address:** VILLA CARIBE, 257 VIA CAMPINA, CAGUAS, PR 00727
- **Mailing address phone:** (787) 207-7588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2024
- **Last updated:** 07/02/2024