Organization
MINDFUL AND PRESENT COUNSELING, LLC
Active
Other names
MAP
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MARIE NORTH LCSW (OWNER/MANAGING MEMBER)
(813) 455-8672
Entity
Organization
Contact information
Practice address
1219 MILLENNIUM PKWY STE 116, BRANDON, FL 33511-3891
(813) 455-8672
Mailing address
1305 RUSTLING OAKS DR, BRANDON, FL 33510-2358
(813) 455-8672
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020425900
—
FL
Enumeration date
05/13/2019
Last updated
06/10/2019
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