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Organization
MINDFUL AND PRESENT COUNSELING, LLC
Active
Organization
MINDFUL AND PRESENT COUNSELING, LLC
Active
Other names
MAP
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MARIE NORTH LCSW (OWNER/MANAGING MEMBER)
(813) 455-8672
Entity
Organization
Contact information
Practice address
1219 MILLENNIUM PKWY STE 116, BRANDON, FL 33511-3891
(813) 455-8672
Mailing address
1305 RUSTLING OAKS DR, BRANDON, FL 33510-2358
(813) 455-8672
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020425900
—
FL
Enumeration date
05/13/2019
Last updated
06/10/2019
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