PROGRESSIVE MINDS THERAPY NPI 1376311316

NPI Information

NPI: 1376311316
Provider Name: PROGRESSIVE MINDS THERAPY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4210 BURTONWOOD DR
PENSACOLA, FL
ZIP 32514
Phone: (850) 480-9314
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PROGRESSIVE MINDS THERAPY is a mental health counselor in Pensacola, FL. PROGRESSIVE MINDS THERAPY NPI is 1376311316. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4210 BURTONWOOD DR
PENSACOLA, FL
ZIP 32514-013
Phone: (850) 480-9314

The provider's authorized official is Michelle M Lawrence .
The authorized official title is Clinician and has the following contact phone number (850) 480-9314.

The enumeration date for this NPI number is 12/19/2023 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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