Organization
POSITIVE MINDS MATTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONI LIZANA LPC (OWNER)
(601) 691-1475
Entity
Organization
Contact information
Practice address
1403 43RD AVE, GULFPORT, MS 39501-2545
(601) 691-1475
Mailing address
10431 AUTUMN DR, GULFPORT, MS 39503-8159
(601) 691-1475
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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