Organization
DIVINE MINDS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOPUSNAK LCSW (PROVIDER)
(813) 713-9402
Entity
Organization
Contact information
Practice address
2240 TWELVE OAKS WAY STE 102, WESLEY CHAPEL, FL 33544-6970
(813) 713-9402
Mailing address
2240 TWELVE OAKS WAY STE 102, WESLEY CHAPEL, FL 33544-6970
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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