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Organization
MINDFUL SEXUALITY INC
Active
Organization
MINDFUL SEXUALITY INC
Active
Other names
Michelle Lopez Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ROXANA LOPEZ LCSW (OWNER)
(850) 566-8485
Entity
Organization
Contact information
Practice address
2051 W PRAIRIE CIR, DELTONA, FL 32725-3740
(407) 720-9789
(386) 368-7458
Mailing address
2051 W PRAIRIE CIR, DELTONA, FL 32725-3740
(850) 566-8485
(386) 368-7458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW.09928469
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
01
—
SW16646
PROFESSIONAL LICENSE
FL
Enumeration date
10/18/2019
Last updated
05/13/2024
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