| NPI | 1740173624 |
|---|---|
| Former Legal Business Name | CREATIVE MINDS & CONNECTIONS |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SOARES PEREIRA Owner 904-749-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |