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Organization
THE CENTER FOR DEVELOPING MINDS LLC
Active
Organization
THE CENTER FOR DEVELOPING MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA P CARTER (OWNER)
(904) 531-9752
Entity
Organization
Contact information
Practice address
623 OAK ST, GREEN COVE SPRINGS, FL 32043-4313
(904) 531-9752
Mailing address
2241 PARSONAGE ST, MIDDLEBURG, FL 32068-5155
(904) 864-0367
(904) 531-5149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
08/05/2013
Last updated
11/30/2021
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