Organization
MINDFUL PATHWAYS PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOTIS CHAPPELL JR. APRN (OWNER)
(786) 337-5715
Entity
Organization
Contact information
Practice address
520 E CHURCH ST APT 930, ORLANDO, FL 32801-3157
(786) 337-5715
Mailing address
520 E CHURCH ST APT 930, ORLANDO, FL 32801-3157
(786) 337-5715
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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