Organization
MIND-BODY LINK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI NICOLE LOPEZ LMHC (LMHC)
(631) 530-1601
Entity
Organization
Contact information
Practice address
2847 ORCHID LN, LAKELAND, FL 33805-7540
(631) 530-1601
Mailing address
2847 ORCHID LN, LAKELAND, FL 33805-7540
(631) 530-1601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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