Organization
MIND OVER MATTER TRANSFORMATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIKA GREEN LCSW (PSYCHOTHERAPIST)
(850) 669-0022
Entity
Organization
Contact information
Practice address
7901 4TH ST N SUITE 300, ST. PETERSBURG, FL 33702
(850) 669-0022
Mailing address
2821 S FERDON BLVD # 1087, CRESTVIEW, FL 32536-8474
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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