NPI 1336788439 · live from the CMS NPI Registry
Adaptive Mind PLLC
Social Worker, Clinical in West Palm Beach, FL. National Provider Identifier 1336788439, active.
NPI record
| NPI | 1336788439 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 700 S Rosemary Ave Ste 204, West Palm Beach, FL 33401 |
| Practice phone | 561-246-5063 |
| Enumerated | January 6, 2020 |
| Last updated | August 11, 2020 |
| Authorized official | Carly Lupo, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.