Organization
MINDFUL COMMUNITY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMESHA POWELL LCSW (CEO)
(321) 348-7845
Entity
Organization
Contact information
Practice address
636 N WYMORE RD, WINTER PARK, FL 32789-2862
(321) 348-7845
Mailing address
636 N WYMORE RD, WINTER PARK, FL 32789-2862
(321) 348-7845
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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