Organization
INNOVATION MIND AND HEALTH LLC
Active
Other names
Innovation Mind Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRIS MALDONADO LMHC- PHD (OWNER)
(407) 744-5447
Entity
Organization
Contact information
Practice address
2263 VILLA VERANO WAY APT 102, KISSIMMEE, FL 34744-5982
(407) 744-5447
Mailing address
1257 SPOKANE PT, KISSIMMEE, FL 34741-6437
(407) 744-5447
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/01/2022
Last updated
04/02/2024
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