Organization
MINDFUL ASPIRATION LIFE SKILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERWIN CALLAHAN (OWNER)
(321) 442-6681
Entity
Organization
Contact information
Practice address
113 BETHUNE ST, LAKE PLACID, FL 33852-5698
(321) 442-6681
Mailing address
113 BETHUNE ST, LAKE PLACID, FL 33852-5698
(321) 442-6681
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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