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Organization
VIVID MINDS MENTAL CARE
Active
Organization
VIVID MINDS MENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELLINE L GIRLIE APRN, FNP, PMHNP (CEO)
(239) 357-1945
Entity
Organization
Contact information
Practice address
159 HOPEWELL DR, OCOEE, FL 34761-4445
(239) 357-1945
Mailing address
2222 OCOEE APOPKA RD STE 106, OCOEE, FL 34761-5344
(239) 357-1945
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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