Organization
MIND BLOSSOM RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTNIE LYNCH PMHNP-BC (OWNER)
(407) 583-4499
Entity
Organization
Contact information
Practice address
2110 N DONNELLY ST STE 103, MOUNT DORA, FL 32757-6969
(407) 492-4945
Mailing address
3003 CLAMONT LN, EUSTIS, FL 32726-2045
(407) 492-9245
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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