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1811443195
CHANGE OF MIND LLC
PORT ST LUCIE, FL
NPI
1811443195
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Entity Type
Organization
Authorized Contact
ERIC R LEEVER
Owner
772-284-6030
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH10303)
Enumeration Date
2016-08-28
Last Update Date
2018-12-20
Business Address
CHANGE OF MIND LLC
314 N.W. BETHANY DR
PORT ST LUCIE, FL 34986
Phone number: 772-284-6030
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Mailing Address
CHANGE OF MIND LLC
314 N.W. BETHANY DR
PORT ST LUCIE, FL 34986
Phone number: 772-284-6030
Copy
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