| NPI | 1912714486 |
|---|---|
| Doing Business As | MINDIVE |
| Entity Type | Organization |
| Authorized Contact | JESSICA FLORES Owner 502-386-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |