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Organization

GRAY MATTER NEUROPSYHCOLOGICAL CONSULTANTS, LLC DBA THE MIND STUDIO

Active
Other names
The Mind Studio
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ASHLEY LUELLA DOWNEY (PRACTICE MANAGER)
(850) 696-6640
Entity
Organization

Contact information

Practice address
1403 CAT MAR RD, NICEVILLE, FL 32578-9742
(850) 696-6640
(850) 696-6640
Mailing address
1403 CAT MAR RD, NICEVILLE, FL 32578-9742
(850) 816-0408

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
Primary
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14779277176
NPI
01
1750451019
NPI
01
1811436371
NPI
Enumeration date
08/07/2022
Last updated
01/09/2025
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