Organization
INNOVATIVE MINDS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HERNANDEZ-COLLAZO LCSW (OWNER)
(484) 706-9836
Entity
Organization
Contact information
Practice address
4601 OAK CIR, READING, PA 19606-3347
(484) 706-9836
Mailing address
4601 OAK CIR, READING, PA 19606-3347
(484) 706-9836
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
10/13/2021
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