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Organization

MIND MAVEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI-MARIE M MATTICE LCSW (OWNER/ THERAPIST)
(570) 854-8532
Entity
Organization

Contact information

Practice address
66 SIERRA LN, CRAWFORDVILLE, FL 32327-1381
(570) 854-8532
Mailing address
66 SIERRA LN, CRAWFORDVILLE, FL 32327-1381
(570) 854-8532

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/10/2025
Last updated
09/10/2025
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