Organization
POSITIVE MINDSET GROUP
Active
Other names
Positive Mindset Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA I MARRERO-SANTIAGO PSYD (CEO)
(321) 257-3960
Entity
Organization
Contact information
Practice address
4735 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(321) 257-3960
(407) 604-7677
Mailing address
4735 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(321) 257-3960
(407) 604-7677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102316900
—
FL
01
—
14356948
CAQH
FL
Enumeration date
05/05/2020
Last updated
02/21/2025
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