Organization
MINDFUL JOURNEY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE RODRIGUEZ LMHC (CLINICAL DIRECTOR)
(954) 376-0496
Entity
Organization
Contact information
Practice address
212 SE 8TH ST, FORT LAUDERDALE, FL 33316-1006
(954) 376-0496
Mailing address
13453 NW 5TH PL, PLANTATION, FL 33325-6149
(954) 376-0496
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH13060
FL
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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