Organization
MINDSCOPE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINA HENAO IRURITA PH.D (LICENSED PSYCHOLOGIST)
(321) 287-0325
Entity
Organization
Contact information
Practice address
3680 AVALON PARK EAST BLVD STE 203, ORLANDO, FL 32828-9372
(321) 340-3038
(407) 604-6671
Mailing address
12425 MARLEIGH CT, ORLANDO, FL 32828-8650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
05/01/2025
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