Organization
CHANGE OF MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R LEEVER LMHC, NCC (OWNER)
(772) 284-6030
Entity
Organization
Contact information
Practice address
314 N.W. BETHANY DR, PORT ST LUCIE, FL 34986
(772) 284-6030
(772) 252-5746
Mailing address
314 N.W. BETHANY DR, PORT ST LUCIE, FL 34986
(772) 284-6030
(772) 252-5746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10303
FL
Other
Enumeration date
08/28/2016
Last updated
12/20/2018
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