Organization
INNOVATION MIND AND HEALTH LLC
Active
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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