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Organization
THE MINDFUL PRACTICE, LLC
Active
Organization
THE MINDFUL PRACTICE, LLC
Active
Other names
The Mindful Practice, Alexis Pardo LCSW, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS PARDO LCSW (PRESIDENT)
(407) 308-2747
Entity
Organization
Contact information
Practice address
1133 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2350
(407) 308-2747
(321) 413-5886
Mailing address
1133 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2350
(407) 308-2747
(321) 413-5886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588163679
NPI
FL
01
—
SW16166
LICENSE NUMBER
FL
Enumeration date
12/10/2021
Last updated
10/13/2023
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