Organization
MINDBUILDERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH BRUNO LCSW (PRESIDENT)
(305) 905-7177
Entity
Organization
Contact information
Practice address
2627 NE 203RD ST, SUITE 211, AVENTURA, FL 33180-1900
(305) 905-7177
Mailing address
3400 NE 192ND ST, SUITE 2210, AVENTURA, FL 33180-2462
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SW6832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z011L
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/30/2008
Last updated
12/30/2008
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