Organization
HARMONIOUS MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONQUIL CROWOLL-FONSECA (OWNER)
(754) 218-7582
Entity
Organization
Contact information
Practice address
4300 N UNIVERSITY DR STE A106, LAUDERHILL, FL 33351-6243
(954) 613-6007
Mailing address
4300 N UNIVERSITY DR STE A106, LAUDERHILL, FL 33351-6243
(954) 613-6007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
08/05/2024
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