Organization
MOVIMENTUM PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE MELENDEZ-BLANCH PSYD (MANAGER/CO-OWNER)
(509) 851-5084
Entity
Organization
Contact information
Practice address
1317 EDGEWATER DR UNIT 902, ORLANDO, FL 32804-6350
(239) 329-8742
Mailing address
1317 EDGEWATER DR STE 902, ORLANDO, FL 32804-6350
(509) 851-5084
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467899195
NPI
—
01
—
1487095550
NPI
—
Enumeration date
10/09/2020
Last updated
01/14/2021
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